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accident reconstruction newsletter
Volume Seven, Issue 2
February 2005

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Case Study: Neck Injuries in Automobile Collisions
Cervical disc prolapse in rear-end automobile collisions:
Injury mechanism unique to occupant and head restraint geometry

Jeff Wheeler, David Dainty - Vector Scientific

Introduction
Anecdotal evidence has subjectively linked rear-end automobile collisions to causation of cervical disc trauma,
however the injury mechanism has not been reported. Adams and Hutton (1982) have indicated that a coupled
loading of flexion and compression from an external source are needed to effect disc prolapse. Two case
studies of C5/6 disc prolapse following rear-end impacts are presented. In both of these cases, a unique
combination of occupant restraint geometry and head/neck dynamics resulted in the compression/flexion injury
mechanism being produced in the cervical spine.

Methods
This investigation involved a review of rear-end impact case studies, live human and dummy rear-end
head/neck kinematics, and cadaveric studies on cervical disc injury biomechanics. The two case studies
investigated involved rear end collisions of minivans by other vehicles. In both cases, the injured party was a
female driver of the minivan. The impact dynamics of both accidents were determined from accident
reconstruction using photographs, property damage estimates, and vehicle specific crash test data. These
accidents were compared to results from human volunteers and anthropometric devices (ATD's) subjected to
rear end impacts. Investigation of the seat and head restraint geometries, along with occupant anthropometric
characteristics, exposed loading conditions that could lead to disc injury.

>> Read / Download Complete Case Study

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