Toddler's spinal fractures caused by 'forceful slam', expert tells jury
Toddler's spinal fractures from 'forceful slam', jury hears

A specialist in bone fractures has told a jury that the spinal fractures suffered by toddler Isabelle Welsh were likely caused by a 'forceful slam'. Professor Tony Freemont gave evidence at Teesside Crown Court on Monday, stating that the injuries were extremely rare and non-accidental.

Expert testimony on fractures

Professor Freemont examined Isabelle's bones and found that all of her vertebrae were fractured, with 'crush fractures' present. He said: '[They are] extremely rare fractures in children and I have never seen as many fractures of the vertebral bodies as this ever before.'

Prosecutor Richard Wright KC asked about the potential causes. The professor responded: 'They can occur as a consequence of loading the spine from above downwards, or from above, upwards. It would require a real forceful slam on to the bottom of the pelvis, or bending the spine forwards beyond normal limits.'

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When Mr Wright asked if it was 'almost like folding something in half', the witness agreed: 'Absolutely, yes.'

Accidental or inflicted?

Professor Freemont stated that the injuries were likely inflicted, not accidental. He explained: 'If accidental, the child would've had to have been in a reported incident...even then, I can't envisage how an accident could cause this. I believe [the fractures were] inflicted.'

He also noted that fractures to Isabelle's arms and legs were likely caused by 'twisting and pulling' of a limb, adding: 'These fractures are not seen in normal activities and are not seen in boisterous play either.'

Skull fracture and charges

The professor further informed the jury that Isabelle's 'significant skull fracture' was also likely non-accidental. Isabelle was found 'gravely ill' with multiple injuries when paramedics were called to her Teesside home on September 13 last year.

Her mother, Alexandra Walker, 25, of Hartington Close in Thornaby, and her boyfriend, Harrison Simpson, 22, of Greenham Close, Thorntree, are charged with her murder. They also face accusations of causing or allowing her death, assault by penetration between September 10 and September 14 last year, and cruelty to a person under 16. Both deny all charges.

Trial continues

The trial at Teesside Crown Court continues.

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