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Cervical spine fractures sustained by young children in forward-facing car seats
S Fuchs1, M J Barthel, A M Flannery
1Department of Pediatrics, University of Pittsburg School of Medicine, Pennsylvania.
Insights
Child safety seats prevent injuries, but misuse can cause rare, severe cervical spine injuries in young children. Reevaluating car seat design and educating parents on correct usage is crucial.
Area of Science:
- Pediatrics
- Trauma Surgery
- Biomechanics
Background:
- Child passenger safety laws have improved outcomes.
- Increased use of child safety seats correlates with increased misuse.
- High cervical spine injuries in infants are a growing concern.
Abstract:
Child passenger safety restraint laws have reduced the number of children killed or injured in motor vehicle accidents in the past few years. However, the increased used of child safety seats has brought with it an increase in the misuse of these devices. High cervical spine injuries sustained by five children less than 2 years of age while in forward-facing car seats are described. In the cases of three children, the care safety seat use was correct. Misuse of car seats and anatomic and biomechanical factors in the cervical spines of infants and young children appear to have contributed to the occurrence of these previously rare injuries. Like seat belts, car safety seats are now a factor in child passenger injury characteristics, and therefore, car safety seat design merits reevaluation. In light of this development, public and parent education by health care professionals concerning the correct use of car safety seats is necessary.