@article{ref1,
title="Seat belt syndrome with unstable Chance fracture dislocation of the second lumbar vertebra without neurological deficits",
journal="BMJ case reports",
year="2014",
author="Onu, David O. and Hunn, Andrew W. and Bohmer, Robert D.",
volume="2014",
number="",
pages="e2013-202412",
abstract="The seat belt syndrome is a recognised complication of seat belt use in vehicles. Unstable Chance fractures of the spine without neurological deficits have been reported infrequently. We describe a young woman with completely disrupted Chance fracture of the second lumbar vertebra in association with left hemidiaphragmatic rupture/hernia, multiple bowel perforations, splenic capsular tear, left humeral shaft and multiple rib fractures. These injuries which resulted from high-speed vehicle collision and led to death of one of the occupants were readily detected by trauma series imaging. The patient was successfully treated by a dedicated multidisciplinary team which adopted a staged surgical approach and prioritisation of care. There were no manifested neurological or other deficits after 1 year of follow-up. To the authors' knowledge, this is the first report of such a case in Australasia. We discuss the challenging surgical management, highlighting the role of radiological imaging in such cases and provide a literature review.<p /> <p>Language: en</p>",
language="en",
issn="1757-790X",
doi="10.1136/bcr-2013-202412",
url="http://dx.doi.org/10.1136/bcr-2013-202412"
}