TY - JOUR PY - 2006// TI - Lap-belt injury with complete avulsion of the spinal cord and cauda equina JO - Clinical anatomy A1 - Tubbs, R. Shane A1 - Golden, Blake A1 - Doyle, Scott A1 - Grabb, Paul A. A1 - Oakes, W. Jerry SP - 665 EP - 668 VL - 19 IS - 7 N2 - The authors report a child who was involved in an automobile accident. The patient was restrained by a rear seat lap belt. Radiological examination revealed an L4 Chance-type fracture and ligamentous disruption at the L4-L5 interval. During superficial dissection of the paraspinal muscles for a spinal fusion procedure, the cauda equina and the lower spinal cord (several centimeters) were visible, completely transected and herniated into the extraspinal space through a disrupted thoracolumbar fascia. The clinician should be aware of the potentially devastating results following a lap-belt injury in which a Chance fracture is produced.
Language: en
LA - en SN - 0897-3806 UR - http://dx.doi.org/10.1002/ca.20211 ID - ref1 ER -