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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.

Occupant protection in side impacts, in particular for near-side occupants, is a challenge due to the occupant’s close proximity to the impact. Near-side occupants have limited space to ride down the impact. Curtain and side airbags fill the gap between occupant and the side interior. This analysis was conducted to provide insight on the characteristics of side impacts and the relevancy of currently regulated test configurations. For this purpose, 2007-2015 NASS-CDS and 2017-2021 CISS side crash data were analyzed for towed light vehicles. 2008 and newer model year vehicle data was selected to ensure that most vehicles were equipped with side/curtain airbags. The results showed that side impacts accounted for approximately 26.7% of the vehicles involved and 18.9% of the vehicles with at least one seriously injured occupant. Most side impacts involved damage to the front and front-to-center of the vehicle.