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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.

Prior to developing or modifying the protocol of a performance evaluation test, it is important to identify field relevant conditions. The objective of this study was to assess the distribution of selected crash variables from rear crash field collisions involving modern vehicles. The number of exposed and serious-to-fatally injured non-ejected occupants was determined in 2008+ model year (MY) vehicles using the NASS-CDS and CISS databases. Selected crash variables were assessed for rear crashes, including severity (delta V), impact location, struck vehicle type, and striking objects. In addition, 15 EDRs were collected from 2017 to 2019 CISS cases involving 2008+ MY light vehicles with a rear delta V ranging from 32 to 48 km/h. Ten rear crash tests were also investigated to identify pulse characteristics in rear crashes. The tests included five vehicle-to-vehicle crash tests and five FMVSS 301R barrier tests matching the struck vehicle.