TY - JOUR PY - 2007// TI - The complexity of seat belt injuries including spinal injury in the pediatric population: a case report of a 6-year-old boy and the literature review JO - European journal of emergency medicine A1 - Skyrme, Andrew A1 - Forder, Justin A1 - Sinha, Prateek A1 - Stanton, Josephine A1 - Papavasiliou, Athanasios SP - 180 EP - 183 VL - 14 IS - 3 N2 - We present, along with a literature review, the case report of a 6-year-old boy, involved in a high-speed motor vehicle accident, who sustained a seat belt injury of the lumbar spine. We discuss the clinical presentation of thoracolumbar fractures in children, the sensitivity of clinical examination and radiographic evaluation and the associated abdominal injuries that are commonly present with seat belt spinal injuries. Computerized tomography is limited in the detection of soft tissue spinal fractures because these fractures occur in the plain of the section. Plain lateral x-rays of the lumbar spine and computerized tomographic three-dimensional reconstruction images can be helpful but they cannot evaluate the extent of the soft tissue injury. The magnetic resonance imaging scan is the best diagnostic tool to provide the diagnosis.

Language: en

LA - en SN - 0969-9546 UR - http://dx.doi.org/10.1097/MEJ.0b013e32801430e2 ID - ref1 ER -