PMID: 591051Nov 1, 1977

Spinal injuries in belt-wearing car occupants killed by head-on collisions

Injury
G Sköld, G E Voigt

Abstract

In 34 post-mortem examinations of car occupants wearing seat belts and killed in straight or oblique head-on collisions, a thorough investigation of the spine was performed. The autopsy results were correlated with the findings in the cars in order to reconstruct the events when the occupant's body struck the interior of the car. In 2 cases the victims had worn lap belts, in 15 cases shoulder belts and in 17 cases combined shoulder-lap belts (three-point belts). In victims involved in head-on collisions while wearing lap belts, fractures of the neural arch of the axis were found which were probably due to flexion of the neck pivoting round the lower part of the impacting face and simultaneous stretching of the neck. Severe injuries to the cervical spine in those victims wearing shoulder belts were mainly due to the occupant sliding under the belt which then caught the neck and mandible. Such injuries were also caused by the impact of the head against forward parts of the car. In those wearing shoulder-lap belts injuries to the upper part of the cervical spine resulted from the impact of the head against internal parts of the car. When a slight impact of the head occurred minor injuries to the lower cervical spine were seen. Inj...Continue Reading

References

Apr 1, 1975·The Journal of Trauma·D F Huelke, H Kaufer
Jun 1, 1987·The British Journal of Ophthalmology·M D ColeD Smerdon
Jun 1, 1974·The Journal of Trauma·G E Voigt, G Sköld
Mar 1, 1971·The Journal of Trauma·J S Williams, J R Kirkpatrick
Apr 1, 1971·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·J R Dehner
Nov 1, 1967·The Journal of Trauma·T Saldeen
Jun 5, 1954·Journal of the American Medical Association·J GERSHON-COHEN, F GLAUSER
Feb 1, 1965·Journal of Neurosurgery·R C SCHNEIDERG HAMILTON

Citations

Nov 10, 1978·Zeitschrift für Rechtsmedizin. Journal of legal medicine·G Sköld
Jan 1, 1983·Zeitschrift für Rechtsmedizin. Journal of legal medicine·H SumuvuoriE M Laasonen
Sep 11, 2002·Spine·Lars UhrenholtJan Hartvigsen
Jun 6, 2008·Journal of Spinal Disorders & Techniques·Michael J VivesDavid Livingston
May 3, 2007·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Athanasios PapavasiliouAndrew Skyrme
Jun 1, 1985·British Medical Journal·B R WildS Rastogi
Jan 15, 2010·Journal of Forensic Sciences·Anthony Sgarlato, Stephen J Deroux
Jan 25, 2005·Injury·Paula J Richards
Sep 1, 1991·Injury·R S Jeffery, P L Cook
Sep 5, 2006·Journal of Manipulative and Physiological Therapeutics·Robert M RowellKaren Stone-Hall
Jan 1, 1991·Annals of Emergency Medicine·A P Sumchai, G L Sternbach
Jan 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·E H FrankP Frankel
Apr 1, 1997·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R J RivielloM L Martin
Feb 3, 2019·BMJ : British Medical Journal·Joanne Silberner
Dec 18, 2002·Spine·Angus RobertsonPeter V Giannoudis
Nov 1, 1978·Langenbecks Archiv für Chirurgie·G E Voigt

Related Concepts

Traffic Accidents
Automobile Driving
Facial Injuries
Seat Belts
Spinal Injuries
Fracture

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