TY  - JOUR
PY  - 2006//
TI  - Multiplanar cervical spine injury due to head-turned rear impact
JO  - Spine
A1  - Panjabi, M. M.
A1  - Ivancic, Paul C.
A1  - Maak, Travis G.
A1  - Tominaga, Y.
A1  - Rubin, W.
SP  - 420
EP  - 429
VL  - 31
IS  - 4
N2  - STUDY DESIGN: Head-turned whole cervical spine model was stabilized with muscle force replication and subjected to simulated rear impacts of increasing severity. Multiplanar flexibility testing evaluated any resulting injury. OBJECTIVES: To identify and quantify cervical spine soft tissue injury and injury threshold acceleration for head-turned rear impact, and to compare these data with previously published head-forward rear and frontal impact results. SUMMARY OF BACKGROUND DATA: Epidemiologically and clinically, head-turned rear impact is associated with increased injury severity and symptom duration, as compared to forward facing. To our knowledge, no biomechanical data exist to explain this finding. METHODS: Six human cervical spine specimens (C0-T1) with head-turned and muscle force replication were rear impacted at 3.5, 5, 6.5, and 8 g, and flexibility tests were performed before and after each impact. Soft tissue injury was defined as a significant increase (P < 0.05) in intervertebral flexibility above baseline. Injury threshold was the lowest T1 horizontal peak acceleration that caused the injury. RESULTS: The injury threshold acceleration was 5 g with injury occurring in extension or axial rotation at C3-C4 through C7-T1, excluding C6-C7. Following 8 g, 3-plane injury occurred in extension and axial rotation at C5-C6, while 2-plane injury occurred at C7-T1. CONCLUSIONS: Head-turned rear impact caused significantly greater injury at C0-C1 and C5-C6, as compared to head-forward rear and frontal impacts, and resulted in multiplanar injuries at C5-C6 and C7-T1.<p />  <p>Language: en</p>
LA  - en
SN  - 0362-2436
UR  - http://dx.doi.org/10.1097/01.brs.0000199940.61373.d5
ID  - ref1
ER  -