Seat belt syndrome with unstable Chance fracture dislocation of the second lumbar vertebra without neurological deficits.

Autor:	Onu, David O., Hunn, Andrew W., Bohmer, Robert D.
Předmět:	DIAGNOSIS of bone fractures RISK factors of fractures NEUROLOGIC manifestations of general diseases TRAFFIC accident risk factors AUTOMOBILE safety appliances BONE fractures DISEASE complications DISEASE risk factors SPINAL injuries DIAGNOSIS INJURY risk factors
Zdroj:	BMJ Case Reports; Jan2014, p1-5, 5p
Abstrakt:	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 [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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