Abstract
A case is presented of an 18-year-old male with a lumbar bone lesion included in the so-called "two-point seat belt syndrome". The patient was seen for low back pain following a traffic accident, being the occupant of the middle rear seat of the vehicle. He assessed the pain as 7/10 on the VAS scale before analgesia. Immobilisation of the neck and spine was carried out and he was transferred to the nearest reference hospital, where an imaging test (CT scan) confirmed the lumbar vertebra L3.
Seatbelt syndrome still occurs in cases of high-speed trauma where a two-point seatbelt is used. The scrupulous management of such patients is a challenge for out-of-hospital medical staff.

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Copyright (c) 2022 Pablo Del Brío Ibañez, Jorge Martínez Piedra, Rosa María Cárdaba García, Olalla de Santos Jiménez, Beatriz Álvarez Martín