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There is a paucity of data regarding the potential for pediatric cervical spine injury as a result of acceleration of the head with no direct impact during automotive crashes. Sled tests were conducted using a 3-year-old anthropomorphic test device (ATD) to investigate the effect of restraint type and crash severity on the risk of pediatric inertial neck injury. At higher crash severities, the ATD restrained by only the vehicle three-point restraints sustained higher peak neck tension, peak neck extension and flexion moments, neck injury criterion (Nij) values, peak head accelerations, and HIC values compared to using a forward-facing child restraint system (CRS). The injury assessment reference values (IARVs) for peak tension and Nij were exceeded in all 48 and 64 kph delta-V tests using any restraint type.

The subject of whether roof deformation in and of itself causes occupant injury in rollover accidents has been emotionally, scientifically and legally contested for decades. Since the publication of the earliest scientific research on the issues of automobile roof strength and non-ejected passenger protection in rollover crashes, the two views have been generally diametrically opposed to one another, and the debate continues. In order to gain perspective on the subject, the question must be answered as to how effective past and current automotive vehicle roof structures, designed to meet current government and industry standards, have proven to be in protecting vehicle occupants during real-world accidents involving the rollover of the vehicle they occupy.