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Seats have become stronger over the past two decades and remain more upright in rear impacts. While head restraints are higher and more forward providing support for the head and neck, serious-to-fatal injuries to the thoracic and cervical spine have been seen in occupants with spinal disorders, such as DISH (diffuse idiopathic skeletal hyperostosis), ankylosis, spondylosis and/or osteophytes that ossify the joints in the spine. This case study addresses the influence of spinal disorders on fracture-dislocation and spinal cord injury in rear impacts with relatively upright seats. Nineteen field accidents were investigated where serious-to-fatal injuries of the thoracic and cervical spine occurred with the seat remaining upright or slightly reclined. The occupants were lap-shoulder belted, some with belt pretensioning and cinching latch plate.

Vehicle structures are designed to manage impact forces and transfer crash energy, in addition to their primary purpose of connecting all the vehicle powertrain, suspension, steering, HVAC, electronics, occupant accommodation, and weatherproofing. With the introduction of new rear impact requirements, the design of rear structures has evolved and the use of high strength steel has increased. This study objective was to assess the effect of new FMVSS 301 requirements on vehicle responses. NHTSA conducted 33 offset rear crash tests at 80 km/h with vehicles that pre-dated the newer FMVSS 301R requirements and 88 with vehicles that complied with the newer requirements, with a 2009-2015 model year range. The vehicles were grouped by size and the permanent crush was tabulated. Overall, the struck-side maximum crush decreased in the newer model vehicles. Seven matches with pre and post 301R were identified on the same make and model vehicle of different generations.