These are typically, flexion / detraction injuries to the lumbar spine. The pelvis is anchored by the lap-strap and following rapid deceleration in a road traffic accident, the victim is thrown forwards against the belt. The vertebral body may be split and severely displaced.
The fracture may be managed conservatively - bed rest for 6 weeks with a plaster jacket afterwards. The patient should be nursed with the spine in extension.
Last reviewed 01/2018