Predicting multiplanar cervical spine injury due to head-turned rear impacts using IV-NIC
PC Ivancic, MM Panjabi, Y Tominaga… - Traffic injury …, 2006 - Taylor & Francis
PC Ivancic, MM Panjabi, Y Tominaga, GF Malcolmson
Traffic injury prevention, 2006•Taylor & FrancisObjective. Intervertebral Neck Injury Criterion (IV-NIC) hypothesizes that dynamic three-
dimensional intervertebral motion beyond physiological limit may cause multiplanar soft-
tissue injury. Present goals, using biofidelic whole human cervical spine model with muscle
force replication and surrogate head in head-turned rear impacts, were to:(1) correlate IV-
NIC with multiplanar injury,(2) determine IV-NIC injury threshold at each intervertebral level,
and (3) determine time and mode of dynamic intervertebral motion that caused injury …
dimensional intervertebral motion beyond physiological limit may cause multiplanar soft-
tissue injury. Present goals, using biofidelic whole human cervical spine model with muscle
force replication and surrogate head in head-turned rear impacts, were to:(1) correlate IV-
NIC with multiplanar injury,(2) determine IV-NIC injury threshold at each intervertebral level,
and (3) determine time and mode of dynamic intervertebral motion that caused injury …
Objective. Intervertebral Neck Injury Criterion (IV-NIC) hypothesizes that dynamic three-dimensional intervertebral motion beyond physiological limit may cause multiplanar soft-tissue injury. Present goals, using biofidelic whole human cervical spine model with muscle force replication and surrogate head in head-turned rear impacts, were to: (1) correlate IV-NIC with multiplanar injury, (2) determine IV-NIC injury threshold at each intervertebral level, and (3) determine time and mode of dynamic intervertebral motion that caused injury.
Methods. Impacts were simulated at 3.5, 5, 6.5, and 8 g horizontal accelerations of T1 vertebra (n = 6; average age: 80.2 years; four male, two female donors). IV-NIC was defined at each intervertebral level and in each motion plane as dynamic intervertebral rotation divided by physiological limit. Three-plane pre- and post-impact flexibility testing measured soft-tissue injury; that is significant increase in neutral zone (NZ) or range of motion (RoM) at any intervertebral level, above baseline. IV-NIC injury threshold was average IV-NIC peak at injury onset.
Results. IV-NIC extension peaks correlated best with multiplanar injuries (P < 0.001): extension RoM (R = 0.55) and NZ (R = 0.42), total axial rotation RoM (R = 0.42) and NZ (R = 0.41), and total lateral bending NZ (R = 0.39). IV-NIC injury thresholds ranged between 1.1 at C0–C1 and C3–C4 to 2.9 at C7–T1. IV-NIC injury threshold times were attained between 83.4 and 150.1 ms following impact.
Conclusions. Correlation between IV-NIC and multiplanar injuries demonstrated that three-plane intervertebral instability was primarily caused by dynamic extension beyond the physiological limit during head-turned rear impacts.
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