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  • Title: Lumbar Chance fracture associated with use of the lap belt restraint in an adolescent.
    Author: Walsh A, Sheehan E, Walsh MG.
    Journal: Ir Med J; 2003 May; 96(5):148-9. PubMed ID: 12848123.
    Abstract:
    The 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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