Fracture of Lumber Spine with Visceral Injuries Associated with Lap-type Seat Belt. A Case Report.
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- OGAWA Gen
- Department of Orthopaedic Surgery Okayama Rosai Hospital
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- SHIMADA Kimio
- Department of Orthopaedic Surgery Okayama Rosai Hospital
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- TAKAHASHI Masaya
- Department of Orthopaedic Surgery Okayama Rosai Hospital
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- TAKADA Eiichi
- Department of Orthopaedic Surgery Okayama Rosai Hospital
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- OTOMO Hajime
- Department of Orthopaedic Surgery Okayama Rosai Hospital
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- SANNOMIYA Masanori
- Department of Orthopaedic Surgery Okayama Rosai Hospital
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- KAKUTANI Takashi
- Department of Orthopaedic Surgery Okayama Rosai Hospital
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- MANO Masayuki
- Department of Surgery Okayama Rosai Hospital
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- OTANI Hiroshi
- Department of Surgery Okayama Rosai Hospital
Bibliographic Information
- Other Title
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- 二点式シートベルト着用にて腸管破裂を合併した腰椎骨折の1例
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Abstract
A case of lumbar spine fracture and visceral injury associated with a lap-type seat belt is discussed. A 23-year-old man was a passenger in the rear seat of a vehicle and was wearing a lap-type seat belt. He was injured when the car hit a telegraph pole. The pre-impact speed was estimated to have been 40 kilometers per hour. In the emergency room, he complained of back pain without any neurological deficits, and X-ray films showed slight compression fracture of the first and second lumbar vertebrae. Abdominal CT scans showed no abnormalities. Ten hours after injury, the patient started to complain of abdominal pain and fullness. Repeat CT scans revealed abnormalities around the right kidney which suggested hematoma and free air. Laparotomy was performed fifteen hours after injury, revealing perforation of the duodenum and a jejunal hematoma. This case was interesting in that the patient had injuries to the abdominal viscera although the trauma and bony injuries were minor. We should pay more attention to the possibility of viscerai injury after car accidents, because many authors have suggested that a high rate of abdominal visceral injury is associated with lap-type seat belts.
Journal
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- The Journal of the Chugoku-Shikoku Orthopaedic Association
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The Journal of the Chugoku-Shikoku Orthopaedic Association 11 (1), 99-102, 1999
The Chugoku-Shikoku Orthopaedic Association
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Details 詳細情報について
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- CRID
- 1390001204347419904
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- NII Article ID
- 130003625254
- 10013806031
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- NII Book ID
- AN10402449
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- ISSN
- 13475606
- 09152695
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed