PEDIATRICS Vol. 78 No. 6 December 1986, pp. 1169-1170
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All-Terrain Vehicles—Who Says Four-Wheelers Are Safer?

R. C. SNEED MD, FAAP1

1 Department of Rehabilitation Medicine, Spain Rehabilitation Center, 1717 6th Ave S, Birmingham, AL 35233

To the Editor.—

After a paucity of information on all-terrain vehicles (ATV's) in the medical literature, several reports have appeared recently raising concerns about injuries associated with these vehicles.1-7

Since our own report, the Spain Rehabilitation Center has been involved with four additional all-terrain vehicle accidents resulting in serious, permanent injury.5 A 6-year-old girl sustained on a three-wheel all-terrain vehicle a depressed skull fracture and penetrating brain injury resulting in quadriparesis, coma, transient aphasia, and after 12 months, persistent cognitive deficits.