Common mechanism: seat belt serves as axis of rotation with failure of middle and posterior columns
Seat Belt Injury: lap belt worn above the pelvic bones without a shoulder harness
Mechanism: minor anterior vertebral compression with failure of the middle and posterior columns
Intra-abdominal injuries more commonly associated than neuro deficits
Chance fracture
Spine related
Capitate fracture
Acute ligamentous injury
Jefferson fracture
Acute muscle strain
Segond fracture
Disk herniation 