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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.

A case study was conducted of 123 crashes involving 144 fatally injured lap-shoulder belted front-seat occupants. The crashes occurred throughout the United States in 1985-86 and involved 97 driver and 47 right-front passenger deaths in new vehicles. A judgment was made by consensus of a safety panel on the potential for saving the victim's life by the addition of safety technology. Supplemental airbags provided the greatest potential for improving the life-saving effectiveness of current lap-shoulder belts. Overall, airbags may have prevented 12% of the belted occupant fatalities and 27% of the deaths in frontal crashes. The benefit of supplemental airbags was greater for the right-front passenger, in part, because of more females and occupants over 60 years of age in that seating position. A majority (68%) of the belted fatalities were judged unpreventable by reasonable restraint or vehicle modifications.

Airbags and safety belts are now viewed as complements for occupant protection in a crash. There is also a view that no single solution exists to ensure safety and that a system of protective technologies is needed to maximize safety in the wide variety of real automotive crashes. This paper compares the fatality prevention effectiveness, and biomechanical principles of occupant restraint systems. It focuses on the effectiveness of various systems in preventing fatal injury assuming the restraint is available and used. While lap-shoulder belts provide the greatest safety, airbags protect both belted and unbelted occupants.

A study of air bag deployments has indicated that some occupant injury was “unexpected” and might have been related to loading by the inflating bag. Laboratory studies have found “high” loads on surrogates when they are out of a normal seating position and in the path and against an inflating air bag (out-of-position). The current study evaluated laboratory methods for assessing the significance of deployment loads and the interaction mechanics for the situation of an occupant located near or against a steering wheel mounted air bag. Analysis of the field relevance of the results must consider not only factors relating to the assessment of injury risk, but also exposure frequency. The highest responses for the head, neck, or torso were with that body region aligned with and against the air bag module. The risk of severe injury was low for the head and neck, but high when the torso was against and fully covering the air bag module.

Sled tests were conducted at farside oblique angles of 15°, 45°, and 75° with a Part 572 dummy restrained by a conventional driver lap/shoulder belt system or a preinflated driver inflatable restaint. Occupant dynamics were compared in similar tests where an inboard energy absorbing lateral restraint of the upper torso was or was not used. It can be concluded that the seat wing improves the control of the dummy's dynamics in oblique impacts by directing the occupant's motion more forward into the restraint system, thereby taking more advantage of the restraining potential of the shoulder belt or inflatable restraint in controlling the deceleration of the dummy and enhancing the benefit of the restraint system. However, additional factors associated with the use of a seat wing remain to be investigated including the effect of impact force on the occupant, interaction with out-of-position occupants and comfort/convenience.