II. Pathophysiology

  1. High velocity Traumatic Injury (e.g. MVA with Lap belt only)
  2. Causes flexion and distraction of the thoracolumbar spine
  3. Unstable, transverse Fracture through the anterior, middle and posterior Vertebral body

III. Associated Conditions

  1. Spinal cord injury
  2. Traumatic Aortic Disruption
  3. Liver Laceration
  4. Splenic Rupture
  5. Mesentary or Small Bowel injury (if Seat Belt Sign present)

IV. Signs

  1. Point tenderness over thoracolumbar Vertebrae (L1 region)
  2. Seat Belt Sign

V. Management

  1. Spine Surgery is typically required

VI. Resources

VII. References

  1. Herbert, Orman and Hollander in Herbert (2018) EM:Rap 18(4): 13

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