Biomechanics of Inertial Head-Neck Trauma: Role of Cervical Components

Inertial loading of the head-neck complex occurs in rear impacts wherein the head and neck of the occupant are initially subjected to rearward forces. Epidemiological evidence exists to demonstrate the significance and societal impact of these injuries [4]. From a clinical perspective, trauma secondary to inertial loads belongs to the lower end of the Abbreviated Injury Scale, and no specific diagnostic techniques are available to quantitatively document the injury. Furthermore, identification of the mechanisms of injury and derivation of injury thresholds are limited. In fact, there is a paucity of literature focusing on the reproduction of rear impact-induced neck injuries due to a single-event rear impact. Because the impact acceleration is transmitted to the head from the torso via the cervical column, the components of the human neck play a role in the mechanics of trauma. This paper presents the role of cervical spinal components in the injury and describes their associated mechanisms.