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Purpose: This study presents cases of fracture-dislocation of the thoracic spine in extension during severe rear impacts. The mechanism of injury was investigated. Methods: Four crashes were investigated where a lap-shoulder-belted, front-seat occupant experienced fracture-dislocation of the thoracic spine and paraplegia in a severe rear impact. Police, investigator and medical records were reviewed, the vehicle was inspected and the seat detrimmed. Vehicle dynamics, occupant kinematics and injury mechanisms were determined in this case study. Results: Each case involved a lap-shoulder-belted occupant in a high retention seat with ≻1,700 Nm moment or ≻5.5 kN strength for rearward loading. The crashes were offset rear impacts with 40-56 km/h delta V involving under-ride or override by the impacting vehicle and yaw of the struck vehicle. In each case, the occupant's pelvis was restrained on the seat by the open perimeter frame of the seatback and lap belt.

Objective: This study analyzed available rear impact sled tests with Starcraft-type seats that use a diagonal belt behind the seatback. The study focused on neck responses for out-of-position (OOP) and in-position seated dummies. Methods: Thirteen rear sled tests were identified with out-of-position and in-position 5 th , 50 th and 95 th Hybrid III dummies in up to 47.6 mph rear delta Vs involving Starcraft-type seats. The tests were conducted at Ford, Exponent and CSE. Seven KARCO rear sled tests were found with in-position 5 th and 50 th Hybrid III dummies in 21.1-29.5 mph rear delta Vs involving Starcraft-type seats. In all of the in-position and one of the out-of-position series, comparable tests were run with production seats. Biomechanical responses of the dummies and test videos were analyzed.