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Lap belt injuries in children.

McGrath, N
Fitzpatrick, P
Okafor, I
Ryan, S
Hensey, O
Nicholson, A J
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Date
2010-07
Date Submitted
Keywords
Other Subjects
Subject Mesh
Accidents, Traffic
Child
Child, Preschool
Female
Humans
Infant
Magnetic Resonance Imaging
Male
Seat Belts
Spinal Cord Injuries
Spinal Fractures
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Start Date
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Abstract
The use of adult seat belts without booster seats in young children may lead to severe abdominal, lumbar or cervical spine and head and neck injuries. We describe four characteristic cases of lap belt injuries presenting to a tertiary children's hospital over the past year in addition to a review of the current literature. These four cases of spinal cord injury, resulting in significant long-term morbidity in the two survivors and death in one child, arose as a result of lap belt injury. These complex injuries are caused by rapid deceleration characteristic of high impact crashes, resulting in sudden flexion of the upper body around the fixed lap belt, and consequent compression of the abdominal viscera between the lap belt and spine. This report highlights the dangers of using lap belts only without shoulder straps. Age-appropriate child restraint in cars will prevent these injuries.
Language
en
ISSN
0332-3102
eISSN
ISBN
DOI
PMID
20845604
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