Advertisement

Speed bump–induced spinal column injury

      Abstract

      Introduction

      Compression fracture of the vertebral body is common, especially in older adults. Injuries to the spinal column are one of the most frequent injuries by accidents and falls from heights. Vertebral fracture associated with minor trauma, however, is a rare occasion.

      Case Report

      Five cases were injured in the inner city buses after passing onto speed bumps are presented. On presentation, four patients complained of severe pain in the thoracolumbar region, while in the other patient, physical examination revealed pain and tenderness on the neck. No neurologic deficit was noted except for one patient with tenderness on thoracic spines. Examination of the thoracolumbar X-ray and computed tomography displayed compression fractures in four patients. Other laboratory data obtained on admission were within normal limits. Posterior instrumentation was applied to three patients. All patients recovered well except for the one with cervical fracture.

      Conclusion

      Drivers should be strongly warned and educated on the potential hazards of traversing past such bumps in roads too fast and such barriers should be built regarding tested standards.
      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Speed control humps built on the roads. Institution of Turkish Standards. TS 6283.
        December 1988 ([in Turkish])
        • National Institute of Health, Consensus Conference
        Osteoporosis.
        JAMA. 1984; 252: 799-802
        • Toth E.
        Vertebral deformities and the underlying diseases.
        Orv Hetil. 2003; 144: 1955-1963
        • Gertzbein S.D.
        • Court-Brown C.M.
        Flexion-distraction injuries of the lumbar spine: mechanism of injury and classification.
        Clin Orthop. 1988; 227: 52-60
        • Triantafyllou S.J.
        • Gertzbein S.D.
        Flexion-distraction injuries of the thoracolumbar spine.
        Orthopaedics. 1992; 15: 357-364