Safe Transport of Spica Casted Children in Passenger Vehicles Is Possible: A Frontal Crash Test Analysis of Child Restraint Systems Using Spica Casted Crash Test Dummies

Document Type

Conference Proceeding

Publication Date


Publication Title

Proceedings of the Annual Michigan Orthopaedic Society

Conference Name

This project was presented at the 2018 Flint Area Medical Education Community Research Forum and the 2018 Michigan Orthopaedic Society Annual Scientific Meeting as well as a Michigan CPS workshop for child passenger safety and hospital social workers. Also Presented in part Mid-America Orthopaedic Association Annual Meeting, Florida. April, 2019. Orthopedics Today Annual Meeting, Hawaii. January, 2019.


There is a paucity of data defining safe transport protocols for children treated with hip spica casting. While restraint devices for casted children are available, all federally mandated testing has been done using non-casted anthropomorphic test devices (ATDs), also known as crash test dummies. No current commercially available or specially designed restraint device has been tested using casted ATDs. In light of this significant lack of data, the purpose of this study was to evaluate current restraint options in simulated frontal crash testing using a casted pediatric ATD to determine injury to the head, cervical spine, chest, and pelvis.


Peter F. Armstrong, MD Shriners Hospitals for Children Award, Best Quality, Safety, Value Paper

Rights Statement

© 2018 Pediatric Orthopaedic Society Of North America (POSNA)