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Spine degeneration can lower injury tolerance and influence injury outcomes in vehicle crashes. To date, limited information exists on the effect of age and sex on thoracic spine 3-dimensional geometry. The purpose of this study is to quantify thoracic spinal column and canal geometry using selected geometrical measurement from a large sample of CT scans. More than 33,488 scans were obtained from the International Center for Automotive Medicine database at the University of Michigan under Institutional Review Board approval (HUM00041441). The sample consisted of CT scans obtained from 31,537 adult and 1,951 pediatric patients between the ages of 0 to 99 years old. Each scan was processed semi-automatically using custom algorithms written in MATLAB (The Math Works, Natick, MA). Five geometrical measurements were collected including: 1) maximum spinal curvature depth (D), 2) T1-to-T12 vertical height (H), 3) Kyphosis Index (KI), 4) kyphosis angle, and 5) spinal canal radius.

Crash safety researchers have an increased concern regarding the decreased thoracic deflection and the contributing injury causation factors among the elderly population. Sternum fractures are categorized as moderate severity injuries, but can have long term effects depending on the fragility and frailty of the occupant. Current research has provided detail on rib morphology, but very little information on sternum morphology, sternum fracture locations, and mechanisms of injury. The objective of this study is two-fold (1) quantify sternum morphology and (2) document sternum fracture locations using computed tomography (CT) scans and crash data. Thoracic CT scans from the University of Michigan Hospital database were used to measure thoracic depth, manubriosternal joint, sternum thickness and bone density. The sternum fracture locations and descriptions were extracted from 63 International Center for Automotive Medicine (ICAM) crash cases, of which 22 cases had corresponding CT scans.