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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.

Seat strength has increased over the past four decades which includes a transition to dual recliners. There are seat collision performance issues with stiff ABTS and very strong seats in rear impacts with different occupant sizes, seating positions and physical conditions. In this study, eight rear sled tests were conducted in four series: 1) ABTS in a 56 km/h (35 mph) test with a 50th Hybrid III ATD at MGA, 2) dual-recliner ABTS and F-150 in a 56 km/h (35 mph) test with a 5th female Hybrid III ATD at Ford, 3) dual-recliner ABTS in a 48 km/h (30 mph) test with a 95th Hybrid III ATD leaning inboard at CAPE and 4) dual-recliner ABTS and Escape in 40 km/h (25 mph) in-position and out-of-position tests with a 50th Hybrid III ATD at Ford. The sled tests showed that single-recliner ABTS seats twist in severe rear impacts with the pivot side deformed more rearward than the stanchion side.