To view a slideset about seat belt sign, click here. If any abnormal findings are noted, a surgeon must be consulted because it is very likely that operative intervention will be required. were positive in 12/567 (2. Any patient with a seat belt sign must have an abdominal CT. Look for specific signs, such as seat-belt or handlebar marks in the upper abdomen. However, if the fracture is not stable or there is more than about 15 degrees of angulation, surgery will be necessary.Īs seat belt use increases, seat belt signs are becoming more common. If stable and there is minimal kyphosis, a brace may be appropriate for treatment. These used to be located in the center of the rear seat, but most new cars offer shoulder restraints in this location now.Ĭhance fractures need to be assessed by a spine surgeon so that stability can be determined. These usually only occur with the use of lap belts without shoulder restraints, which is found less and less in cars today. Seat belts are associated with the Chance fracture, an uncommon fracture of the lumbar spine, usually at L1. We can fix abdominal injuries, but we can’t fix the brain it has to heal on its own, and slowly at that. And if the person is wearing seat belts and has a seat belt sign, the risk of injury increases to 65%! With seat belts in place, this increases to 15%. Overall, people who don’t wear seat belts have a 10% chance of abdominal injury. However, they do so by diverting energy from the head to the chest and abdomen. We conclude that the presence of a seatbelt sign is associated with an increased likelihood of abdominal and intestinal injuries and mandates a heightened index. ![]() The use of lap belts can cause trauma to the spine (particularly the lumbar spine. Seat belts save lives by reducing the number of people dying from head injury after a car crash. sign of more serious injuries such as broken ribs or a fractured sternum. The seat belt syndrome takes this one step further, with injury to the abdominal organs or spine. Officially, a seat belt sign consists of contusions and abrasions on the abdomen of a restrained occupant involved in a motor vehicle crash.
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