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Updated: May 27, 2026

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor
Published on: July 24, 2012
The influence of morphology on cervical injury characteristics
Brian D Stemper1, Frank A Pintar, Raj D Rao
1Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI 53295, USA. bstemper@mcw.edu
Study Design:
Review of peer-reviewed literature.
Objective:
Outline the effects of neck and cervical spine morphology on soft tissue injury Potential during low velocity automotive rear impacts.
Summary Of Background Data:
Automotive rear impacts are mechanical events and the response of the human head-neck complex can be thought of in biomechanical terms. This manuscript reviews evidence from peer-reviewed studies implicating occupant-related factors in the onset and severity of cervical spine soft-tissue injury.
Methods:
Effects of anatomical characteristics, head-neck and spine orientation, facet joints, and neck muscles were reviewed.
Results:
On the basis of existing biomechanically based research, the following occupant-related characteristics can influence the response of the cervical spine during automotive rear impacts: anatomical dimensions of the cervical spine, head-neck and cervical spine orientation at the time of impact, facet joint orientation, and neck muscle size and orientation.
Conclusion:
The response of the cervical spine to rear impacts can be described using biomechanical concepts. This review has identified occupant-related factors that can influence injury susceptibility and cited biomechanically related research to outline the method by which those factors affect the overall head-neck and cervical spine response in such a way as to increase the susceptibility or severity of injury for a given rear impact event.
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