{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:20:17Z","timestamp":1773296417666,"version":"3.50.1"},"reference-count":28,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>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\u2005year of follow-up. To the authors\u2019 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.<\/jats:p>","DOI":"10.1136\/bcr-2013-202412","type":"journal-article","created":{"date-parts":[[2014,1,8]],"date-time":"2014-01-08T10:10:09Z","timestamp":1389175809000},"page":"bcr2013202412","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Seat belt syndrome with unstable Chance fracture dislocation of the second lumbar vertebra without neurological deficits"],"prefix":"10.1136","volume":"2014","author":[{"given":"David O","family":"Onu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Royal Hobart Hospital, Hobart, Tasmania, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew W","family":"Hunn","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Royal Hobart Hospital, Hobart, Tasmania, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert D","family":"Bohmer","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Hobart Hospital, Hobart, Tasmania, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,1,8]]},"reference":[{"key":"2025082703485546000_2014.jan08_1.bcr2013202412.1","unstructured":"Peden M Scurfield R Sleet D . 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