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Objective: This is a descriptive study of the incidence of spinal injury by crash type using NASS-CDS. It provides an understanding of impacts to the undercarriage of the vehicle and injuries to the lumbar spine by reviewing electronic cases in NASS-CDS to determine crash circumstances for fractures of the lumbar spine with undercarriage impacts. Methods: 1997-2015 NASS-CDS was evaluated for serious injury (MAIS 3 + F) to front-seat occupants by seatbelt use and crash type in 1994+ MY vehicles. Undercarriage impacts were defined by GAD1 = U without a rollover. Serious injury was defined as MAIS 3 + F. Spinal injuries AIS 3+ were separated into cervical, thoracic and lumbar regions. Weighted data was determined using ratio weight. NASS-CDS electronic cases were downloaded from NHTSA with AIS 3+ lumbar spine injuries in undercarriage impacts. Results: There were 2,160 MAIS 3 + F injured occupants in undercarriage impacts. This was 0.23% of all serious injury.

The following work was done in support of a continuing program to better characterize the behavior of the human chest during blunt sternal impact. Previous work on this problem has focused on determining the force-time, deflection-time, and force-deflection response of embalmed and fresh cadavers to impact by a 15 cm (6 in) diameter striker of variable mass traveling at velocities of 22.5-51 km/h (14-32 mph) and striking the sternum at the level of the fourth intercostal space. Additional questions persist concerning whether the anterior and posterior regions of the chest behave as highly damped masses or oscillate after impact, the relationship between force delivered to the surface of the body and the acceleration of the underlying regions, and the influence of air compressed in the lung on thoracic mechanics.

Life threatening chest injury can involve partial or full tears of the aorta. Investigations of fatal injuries in automobile accidents indicate that aortic trauma occurs in 10-20% of the cases. The major sites of aortic trauma include the aortic isthmus, the root, and the aortic insertion at the diaphragm - all of which are points of aortic tethering. The biomechanics of the injury process involve stretching of the vessel from points of tethering and hydrodynamic increases in blood pressure, which stretch the tissue to failure at a strain of about 150%. The non-isotropic stretch response of aortic tissue is discussed with reference to the frequent transverse orientation of the laceration. Congenital and pathophysiological conditions also influence the failure characteristics of the tissue. The significant factors associated with traumatic injury of the aorta are discussed in this review paper which is based on published technical information.

This report describes a series of experiments using Hexcel(TM) to limit the impact force in lateral abdominal impacts. Two hundred fourteen (214) anesthetized New Zealand White rabbits were impacted at 5 to 15 m/s using a pneumatic impactor. Injury responses from tests with a force-limiting impact interface (94 tests) were compared with the responses from tests with a rigid impact interface (120 tests) having the same level of lateral abdominal compression. The Hexcel had a length of 3 inches, the same diameter as the rigid impactor, and crushed at a constant force (pressure level of 232 kPa (33 psi)) once deformation was initiated. The results of these tests showed that the probability of serious abdominal injury did not change significantly with the Hexcel, even though peak pressures were reduced to as little as one third of their previous values.