Browse Publications Technical Papers 2019-01-1222
2019-04-02

Thoracic Spine Extension Injuries in Occupants with Pre-Existing Conditions during Rear-End Collisions 2019-01-1222

Certain ankylosing spondyloarthropathies such as ankylosing spondylitis (AS) or diffuse idiopathic skeletal hyperostosis (DISH) can substantially alter clinicopathologic spine biomechanics as well as injury mechanisms in rear-end motor vehicle collisions. AS is an inflammatory disease which can lead to structural impairments of the spine secondary to flowing ossification along the spinal column, including ossification across the spinal discs, facet joints, and ligaments, and it has also been associated with diffuse osteoporosis of the spine. DISH is characterized by excess bone formation along the spinal column, encompassing the annulus and forming the thickest and strongest bridging osteophytes over adjacent vertebral bodies at the level of the disc space. In both conditions the spine is mechanically stiffened and generally more kyphotic than a healthy spine. This paper presents a series of case studies in which a front-seat occupant with ankylosing spondyloarthropathy experienced a moderate- or high-speed rear-end collision and sustained a thoracic spine fracture/dislocation, often with spinal cord injuries. Forward acceleration of the occupant by the seat back in each case resulted in straightening of the kyphotic thoracic spine and consequent extension fractures of the pathologically stiff and brittle thoracic spine. This paper illustrates the predisposition of thoracic fracture for this segment of the population with spinal pathologies such as DISH and AS in rear impacts and notes the role that seat back stiffness could play in injury mechanism for these individuals.

SAE MOBILUS

Subscribers can view annotate, and download all of SAE's content. Learn More »

Access SAE MOBILUS »

Members save up to 18% off list price.
Login to see discount.
Special Offer: Download multiple Technical Papers each year? TechSelect is a cost-effective subscription option to select and download 12-100 full-text Technical Papers per year. Find more information here.
We also recommend:
TECHNICAL PAPER

Head and Neck Loading Conditions over a Decade of IIHS Rear Impact Seat Testing

2019-01-1227

View Details

TECHNICAL PAPER

Influence of DISH, Ankylosis, Spondylosis and Osteophytes on Serious-to-Fatal Spinal Fractures and Cord Injury in Rear Impacts

2019-01-1028

View Details

TECHNICAL PAPER

Risk of Concussion in Low- to Moderate-Speed Frontal and Rear-End Motor Vehicle Collisions Evaluated Using Head Acceleration-Based Metrics

2019-01-1218

View Details

X