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Irish medical journal · May 2003
Case ReportsLumbar Chance fracture associated with use of the lap belt restraint in an adolescent.
- A Walsh, E Sheehan, and M G Walsh.
- National Spinal Injuries Unit, Department of Orthopaedic Surgery, Mater Misericordiae Hospital, Eccles St., Dublin 7. walshajw@eircom.net
- Ir Med J. 2003 May 1; 96 (5): 148-9.
AbstractThe use of the 2-point seat belt or lap belt in motor vehicles, particularly to restrain young rear seat passengers, remains an issue of some concern. The occurrence of lumbar spinal flexion-distraction injuries in lap belt restrained children and adolescents during road traffic accidents is a well known phenomenon, but is still occurring. High velocity paediatric Chance fractures are frequently associated with significant intra-abdominal trauma. We present the case of a Chance fracture sustained by a 15 year old girl, involved in a motor vehicle collision, while wearing a lap belt. We emphasise the need to develop safer seat belt designs for juvenile car passengers.
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