Abstract

The purpose of this study was to investigate the relationship between cervical, thoracic, and lumbar spinal alignments in one automotive occupant seated posture. An image dataset of the spinal column in the automotive seated posture, previously acquired by an upright open magnetic resonance imaging (MRI) system, was re-analyzed in this study. Spinal alignments were presented by the geometrical centers of the vertebral bodies extracted from the image data. Cervical, thoracic, and lumbar spinal alignments were analyzed separately with multidimensional scaling (MDS). Based on distribution maps of cervical, thoracic, and lumbar spinal alignments created by MDS, representative spinal alignment patterns of the cervical, thoracic, and lumbar spines and the relationship between cervical, thoracic, and lumbar spinal alignments were investigated. As a result, this study found a correlation between cervical and thoracic spinal alignments in an automotive occupant seated posture. According to representative spinal alignment patterns illustrated by the distribution map of spinal alignments, subjects who had kyphotic cervical spinal alignment tended to have less kyphotic thoracic spinal alignment, while subjects who had lordotic cervical spinal alignment tended to have more kyphotic thoracic spinal alignment. For lumbar spinal alignments, no prominent relationship was found between cervical and thoracic spinal alignment in the seated condition of this study.

References

1.
Maiman
,
D. J.
,
Sances
,
A.
, Jr.
Myklebust
,
J. B.
,
Larson
,
S. J.
,
Houterman
,
C.
,
Chilbert
,
M.
, and
El-Ghatit
,
A. Z.
,
1983
, “
Compression Injury of the Cervical Spine
,”
Neurosurgery
,
13
(
3
), pp.
254
260
.10.1227/00006123-198309000-00007
2.
Yoganandan
,
N.
,
Sances
,
A.
, Jr.
Maiman
,
D. J.
,
Myklebust
,
J. B.
,
Pech
,
P.
, and
Larson
,
S. J.
,
1986
, “
Experimental Spinal Injuries With Vertical Impact
,”
Spine
,
11
(
9
), pp.
855
860
.10.1097/00007632-198611000-00001
3.
Liu
,
Y. K.
, and
Dai
,
Q. G.
,
1989
, “
The Second Stiffest Axis of a Beam-Column: Implications for Cervical Spine Trauma
,”
ASME J. Biomech. Eng.
,
111
(
2
), pp.
122
127
.10.1115/1.3168352
4.
Pintar
,
F.
,
Yoganandan
,
N.
,
Voo
,
L.
,
Cusick
,
J. F.
,
Maiman
,
D. J.
, and
Sances
,
A.
, Jr.
,
1995
, “
Dynamic Characteristics of the Human Cervical Spine
,”
SAE
Paper No. 952722.10.4271/952722
5.
Yoganandan
,
N.
,
Pintar
,
F. A.
,
Gennarelli
,
T. A.
,
Eppinger
,
R. H.
, and
Voo
,
L. M.
,
1999
, “
Geometrical Effects on the Mechanism of Cervical Spine Injury Due to Head Impact
,”
Proceedings of the International Research Council of Biomechanics of Injury Conference 
(
IRCOBI
), Sitges, Spain, Sept. 23–29, pp.
261
270
.http://www.ircobi.org/wordpress/downloads/irc1999/pdf_files/1999_19.pdf
6.
Maiman
,
D. J.
,
Yoganandan
,
N.
, and
Pintar
,
F. A.
,
2002
, “
Preinjury Cervical Alignment Affecting Spinal Trauma
,”
J. Neurosurg.
,
97
(
1 Suppl
.), pp.
57
62
.10.3171/spi.2002.97.1.0057
7.
Ono
,
K.
,
Kaneoka
,
K.
,
Wittek
,
A.
, and
Kajzer
,
J.
,
1997
, “
Cervical Injury Mechanism Based on the Analysis of Human Cervical Vertebral Motion and Head-Neck-Torso Kinematics During Low Speed Rear Impacts
,”
SAE
Paper No. 973340.10.4271/973340
8.
Stemper
,
B. D.
,
Yoganandan
,
N.
, and
Pintar
,
F. A.
,
2005
, “
Effects of Abnormal Posture on Capsular Ligament Elongations in a Computational Model Subjected to Whiplash Loading
,”
J. Biomech.
,
38
(
6
), pp.
1313
1323
.10.1016/j.jbiomech.2004.06.013
9.
Ono
,
K.
,
Inami
,
S.
,
Kaneoka
,
K.
,
Gotou
,
T.
,
Kisanuki
,
T.
,
Sakuma
,
S.
, and
Miki
,
K.
,
1999
, “
Relationship Between Localized Spine Deformation and Cervical Vertebral Motions for Low Speed Rear Impacts Using Human Volunteers
,”
Proceedings of the International Research Council on Biomechanics of Injury Conference
(
IRCOBI
), Sitges, Spain, Sept. 23–24, pp.
149
164
.http://www.ircobi.org/wordpress/downloads/irc1999/pdf_files/1999_11.pdf
10.
Sato
,
F.
,
Antona
,
J.
,
Ejima
,
S.
, and
Ono
,
K.
,
2010
, “
Influence on Cervical Vertebral Motion of the Interaction Between Occupant and Head Restraint/Seat, Based on the Reconstruction of Rear-End Collision Using Finite Element Human Model
,”
Proceedings of the International Research Council on Biomechanics of Injury Conference
(
IRCOBI
), Hanover, Germany, Sept. 15–16, pp.
41
58
.http://www.ircobi.org/wordpress/downloads/irc0111/2010/Session1/1-3.pdf
11.
Hardacker
,
J. W.
,
Shuford
,
R. F.
,
Capicotto
,
P. N.
, and
Pryor
,
P. W.
,
1997
, “
Radiographic Standing Cervical Segmental Alignment in Adult Volunteers Without Neck Symptoms
,”
Spine
,
22
(
13
), pp.
1472
1480
.10.1097/00007632-199707010-00009
12.
Janssen
,
M. M.
,
Drevelle
,
X.
,
Humbert
,
L.
,
Skalli
,
W.
, and
Castelein
,
R. M.
,
2009
, “
Differences in Male and Female Spino-Pelvic Alignment in Asymptomatic Young Adults and Its Relation to Spinal Deformities—A Three-Dimensional Analysis Using Upright Low-Dose Digital Biplanar X-Rays
,”
Spine
,
34
(
23
), pp.
E826
832
.10.1097/BRS.0b013e3181a9fd85
13.
Ames
,
C. P.
,
Blondel
,
B.
,
Scheer
,
J. K.
,
Schwab
,
F. J.
,
Le Huec
,
J. C.
,
Massicotte
,
E. M.
,
Patel
,
A. A.
,
Traynelis
,
V. C.
,
Kim
,
H. J.
,
Shaffrey
,
C. I.
,
Smith
,
J. S.
, and
Lafage
,
V.
,
2013
, “
Cervical Radiographical Alignment: Comprehensive Assessment Techniques and Potential Importance in Cervical Myelopathy
,”
Spine
,
38
(
22S
), pp.
S149
S160
.10.1097/BRS.0b013e3182a7f449
14.
Park
,
M. S.
,
Moon
,
S. H.
,
Lee
,
H. M.
,
Kim
,
S. W.
,
Kim
,
T. H.
,
Lee
,
S. Y.
, and
Riew
,
K. D.
,
2013
, “
The Effect of Age on Cervical Sagittal Alignment
,”
Spine
,
38
(
8
), pp.
E458
E463
.10.1097/BRS.0b013e31828802c2
15.
Parenteau
,
C. S.
,
Zhang
,
P.
,
Holcombe
,
S.
, and
Wang
,
S.
,
2014
, “
Characterization of Vertebral Angle and Torso Depth by Gender and Age Groups With a Focus on Occupant Safety
,”
Traffic Injury Prev.
,
15
(
1
), pp.
66
72
.10.1080/15389588.2013.829217
16.
Klinich
,
K. D.
,
Ebert
,
S. M.
,
Van Ee
,
C. A.
,
Flannagan
,
C. A. C.
,
Prasad
,
M.
,
Reed
,
M. P.
, and
Schneider
,
L. W.
,
2004
, “
Cervical Spine Geometry in the Automotive Seated Posture: Variations With Age, Stature, and Gender
,”
Stapp Car Crash J.
,
48
, pp.
301
330
.10.4271/2004-22-0014
17.
Klinich
,
K. D.
,
Ebert
,
S. M.
, and
Reed
,
M. P.
,
2012
, “
Quantifying Cervical Spine Curvature Using Bézier Splines
,”
ASME J. Biomech. Eng.
,
134
(
11
), p.
114503
.10.1115/1.4007749
18.
Reed
,
M. P.
, and
Jones
,
M. L. H.
,
2017
, “
A Parametric Model of Cervical Spine Geometry and Posture
,” University of Michigan Transportation Research Institute, Ann Arbor, MI, Report No. UMTRI-2017-1.
19.
Snyder
,
R. G.
,
Chaffin
,
D. B.
, and
Foust
,
D. R.
,
1975
, “
Bioengineering Study of Basic Physical Measurements Related to Susceptibility to Cervical Hyperextension-Hyperflexion Injury
,” University of Michigan Transportation Research Institute, Ann Arbor, MI, Report No. UM-HSRI-BI-75-6.
20.
Sato
,
F.
,
Odani
,
M.
,
Miyazaki
,
Y.
,
Nakajima
,
T.
,
Antona-Makoshi
,
J.
,
Yamazaki
,
K.
,
Ono
,
K.
,
Svensson
,
M. Y.
,
Östh
,
J.
,
Morikawa
,
S.
,
Schick
,
S.
, and
Ferreiro-Perez
,
A.
,
2016
, “
Investigation of Whole Spine Alignment Patterns in Automotive Seated Posture Using Upright Open MRI Systems
,”
Proceedings of the International Research Council on Biomechanics of Injury Conference
(
IRCOBI
), Malaga, Spain, Sept. 14–16, pp.
113
130
. http://www.ircobi.org/wordpress/downloads/irc16/pdf-files/23.pdf
21.
Sato
,
F.
,
Odani
,
M.
,
Miyazaki
,
Y.
,
Yamazaki
,
K.
,
Östh
,
J.
, and
Svensson
,
M. Y.
,
2017
, “
Effects of Whole Spine Alignment Patterns on Neck Responses in Rear End Impact
,”
Traffic Injury Prev.
,
18
(
2
), pp.
199
206
.10.1080/15389588.2016.1227072
22.
Sato
,
F.
,
2019
, “
Does Spinal Alignment Influence Car Occupant Responses? the Influence of Variation in Whole Spinal Alignment Patterns on Vertebral Kinematics Under Rear Impact Conditions
,” Ph.D. thesis, Chalmers University of Technology, Gothenburg, Sweden.
23.
Cox
,
T. F.
, and
Cox
,
M. A. A.
,
2000
,
Multidimensional Scaling
, 2nd ed.,
Chapman and Hall/CRC
, New York.
24.
Borg
,
I.
, and
Groenen
,
P. J. F.
,
2005
,
Modern Multidimensional Scaling
, 2nd ed.,
Springer
,
New York
.
25.
Mochimaru
,
M.
, and
Kouchi
,
M.
,
2000
, “
Statistics for 3D Human Body Forms
,”
SAE
Paper No. 2000-01-2149.10.4271/2000-01-2149
26.
Miyazaki
,
Y.
,
Ujihashi
,
S.
,
Mochimaru
,
M.
, and
Kouchi
,
M.
,
2005
, “
Influence of the Head Shape Variation on Brain Damage Under Impact
,”
SAE
Paper No. 2005-01-2738.10.4271/2005-01-2738
27.
Ministry of Education
, Culture, Sports, Science and Technology, “Japan: Annual Report of Anthropometry Data by Age in 2012,” Tokyo, Japan, accessed Feb. 1, 2015, http://www.e-stat.go.jp/SG1/estat/List.do?bid=000001077241&cycode=0
28.
Schneider
,
L. W.
,
Robbins
,
D. H.
,
Pflüg
,
M. A.
, and
Snyder
,
R. G.
,
1983
, “
Development of Anthropometrically Based Design Specifications for an Advanced Adult Anthropomorphic Dummy Family
,” University of Michigan Transportation Research Institute, Ann Arbor, MI, Report No. UMTRI-83-53-1.
29.
Ono
,
K.
,
Ejima
,
S.
,
Suzuki
,
Y.
,
Kaneoka
,
K.
,
Fukushima
,
M.
, and
Ujihshi
,
S.
,
2006
, “
Prediction of Neck Injury Risk Based on the Analysis of Localized Cervical Vertebral Motion of Human Volunteers During Low-Speed Rear Impacts
,”
Proceedings of the International Research Council on Biomechanics of Injury Conference
(
IRCOBI
), Madrid, Spain, Sept. 20–22, pp.
103
113
. http://www.ircobi.org/wordpress/downloads/irc0111/2006/Session2/23.pdf
30.
Helliwel
,
P. S.
,
Evans
,
P. F.
, and
Wright
,
V.
,
1994
, “
The Straight Cervical Spine: Does It Indicate Muscle Spasm?
,”
J. Bone Jt. Surg.
,
76
(
1
), pp.
103
106
.10.1302/0301-620X.76B1.8300650
31.
Matsumoto
,
M.
,
Fujimura
,
Y.
,
Suzuki
,
N.
,
Toyama
,
Y.
, and
Shiga
,
H.
,
1998
, “
Cervical Curvature in Acute Whiplash Injures: Prospective Comparative Study With Asymptomatic Subjects
,”
Injury
,
29
(
10
), pp.
775
778
.10.1016/S0020-1383(98)00184-3
32.
Gore
,
D. R.
,
Sepic
,
S. B.
, and
Gardner
,
G. M.
,
1986
, “
Roentgenographic Findings of the Cervical Spine in Asymptomatic People
,”
Spine
,
11
(
6
), pp.
521
524
.10.1097/00007632-198607000-00003
33.
Erkan
,
S.
,
Yercan
,
H. S.
,
Okcu
,
G.
, and
Özalp
,
R. T.
,
2010
, “
The Influence of Sagittal Cervical Profile, Gender and Age on the Thoracic Kyphosis
,”
Acta Orthop. Belg.
,
76
(
5
), pp.
675
80
. https://pdfs.semanticscholar.org/a510/07250bf78607460e45620eca0832ab50593f.pdf
34.
Roussouly
,
P.
, and
Pinheiro-Franco
,
J. L.
,
2011
, “
Sagittal Parameters of the Spine: Biomechanical Approach
,”
Eur. Spine J.
,
20
(
S5
), pp.
578
S585
.10.1007/s00586-011-1924-1
35.
Endo
,
K.
,
Suzuki
,
H.
,
Sawaji
,
Y.
,
Nishimura
,
H.
,
Yorifuji
,
M.
,
Murata
,
K.
,
Tanaka
,
H.
,
Shishido
,
T.
, and
Yamamoto
,
K.
,
2016
, “
Relationship Among Cervical, Thoracic, and Lumbopelvic Sagittal Alignment in Healthy Adults
,”
J. Orthop. Surg.
,
24
(
1
), pp.
92
96
.10.1177/230949901602400121
36.
Endo
,
K.
,
Suzuki
,
H.
,
Nishimura
,
H.
,
Tanaka
,
H.
,
Shishido
,
T.
, and
Yamamoto
,
K.
,
2014
, “
Characteristics of Sagittal Spino-Pelvic Alignment in Japanese Young Adults
,”
Asian Spine J.
,
8
(
5
), pp.
599
604
.10.4184/asj.2014.8.5.599
37.
Narragon
,
E. A.
,
1965
, “
Sex Comparisons in Automobile Crash Injury
,” Cornell Aeronautical Laboratory, Buffalo, NY, Report No. VJ-1823-R15.
38.
Kihlberg
,
J. K.
,
1969
, “
Flexion-Torsion Neck Injury in Rear Impacts
,”
Proceedings of the Association for the Advancement of Automobile Medicine
, Minneapolis, MN, Oct. 16, pp.
1
17
.
39.
O'Neill
,
B.
,
Haddon
,
W.
,
Kelley
,
A. B.
, and
Sorenson
,
W. W.
,
1972
, “
Automobile Head Restraints—Frequency of Neck Injury Claims in Relation to the Presence of Head Restraints
,”
Am. J. Public Health
,
62
(
3
), pp.
399
406
.10.2105/AJPH.62.3.399
40.
Thomas
,
C.
,
Faverjon
,
G.
,
Hartemann
,
F.
,
Tarriere
,
C.
,
Patel
,
A.
, and
Got
,
C.
,
1982
, “
Protection Against Rear-End Accidents
,”
Proceedings of the International Research Council on Biomechanics of Injury Conference
(
IRCOBI
), Cologne, Germany, Sept. 8–10, pp.
17
29
. http://www.ircobi.org/wordpress/downloads/irc1982/pdf_files/1982_2.pdf
41.
Otremski
,
I.
,
Marsh
,
J. L.
,
Wilde
,
B. R.
,
McLardy Smith
,
P. D.
, and
Newman
,
R. J.
,
1989
, “
Soft Tissue Cervical Injuries in Motor Vehicle Accidents
,”
Injury
,
20
(
6
), pp.
349
351
.10.1016/0020-1383(89)90011-9
42.
Maag
,
U.
,
Desjardins
,
D.
,
Bourbeau
,
R.
, and
Laberge-Nadeau
,
C.
,
1990
, “
Seat Belts and Neck Injuries
,”
Proceedings of the International Research Council on Biomechanics of Injury Conference (IRCOBI)
, Bron, France, Sept. 12–14, pp.
1
13
.
43.
Morris
,
A. P.
, and
Thomas
,
P. D.
,
1996
, “
Neck Injuries in the UK co-Operative Crash Injury Study
,”
SAE
Paper No. 962433.10.4271/962433
44.
Dolinis
,
J.
,
1997
, “
Risk Factors for “Whiplash” in Drivers: A Cohort Study of Rear-End Traffic Crashes
,”
Injury
,
28
(
3
), pp.
173
179
.10.1016/S0020-1383(96)00186-6
45.
Temming
,
J.
, and
Zobel
,
R.
,
1998
, “
Frequency and Risk of Cervical Spine Distortion Injuries in Passenger Car Accidents: Significance of Human Factors Data
,”
Proceedings of the International Research Council on Biomechanics of Injury Conference (IRCOBI)
, Gothenburg, Sweden, Sept. 16-18, pp.
219
233
.
46.
Chapline
,
J. F.
,
Ferguson
,
S. A.
,
Lillis
,
R. P.
,
Lund
,
A. K.
, and
Williams
,
A. F.
,
2000
, “
Neck Pain and Head Restraint Position Relative to the Driver's Head in Rear-End Collisions
,”
Accid. Anal. Prev.
,
32
(
2
), pp.
287
297
.10.1016/S0001-4575(99)00126-8
47.
Richter
,
M.
,
Otte
,
D.
,
Pohlemann
,
T.
,
Krettek
,
C.
, and
Blauth
,
M.
,
2000
, “
Whiplash-Type Neck Distortion in Restrained Car Drivers: Frequency, Causes and Long-Term Results
,”
Eur. Spine J.
,
9
(
2
), pp.
109
117
.10.1007/s005860050220
48.
Krafft
,
M.
,
Kullgren
,
A.
,
Lie
,
A.
, and
Tingvall
,
C.
,
2003
, “
The Risk of Whiplash Injury in the Rear Seat Compared to the Front Seat in Rear Impacts
,”
Traffic Injury Prev.
,
4
(
2
), pp.
136
140
.10.1080/15389580309862
49.
Jakobsson
,
L.
,
Norin
,
H.
, and
Svensson
,
M. Y.
,
2004
, “
Parameters Influencing AIS1 Neck Injury Outcome in Frontal Impacts
,”
Traffic Injury Prev.
,
5
(
2
), pp.
156
163
.10.1080/15389580490435989
50.
Storvik
,
S. G.
,
Stemper
,
B. D.
,
Yoganandan
,
N.
, and
Pintar
,
F. A.
,
2009
, “
Population-Based Estimates of Whiplash Injury Using NASS CDS Data–Biomed 2009
,”
Biomed. Sci. Instrum.
,
45
, pp.
244
249
.https://www.ncbi.nlm.nih.gov/pubmed/19369770?dopt=Abstract
51.
Carlsson
,
A.
,
Siegmund
,
G. P.
,
Linder
,
A.
, and
Svensson
,
M. Y.
,
2010
, “
Motion of the Head and Neck of Female and Male Volunteers in Rear Impact Car-to-Car Tests at 4 and 8 km/h
,”
Proc. International Research Council on Biomechanics of Injury Conference
(
IRCOBI
), Hanover, Germany, Sept. 15-16, pp.
29
40
.10.1080/15389588.2012.659362
52.
Kullgren
,
A.
, and
Krafft
,
M.
,
2010
, “
Gender analysis on Whiplash Seat Effectiveness: Results From Real-World Crashes
,”
International Research Council on Biomechanics of Injury Conference
(
IRCOBI
), Hanover, Germany, Sept. 15–16, pp.
27
38
.http://www.ircobi.org/wordpress/downloads/irc0111/2010/Session1/1-1.pdf
53.
Kullgren
,
A.
,
Stigson
,
H.
, and
Krafft
,
M.
,
2013
, “
Development of Whiplash Associated Disorders for Male and Female Car Occupants in Cars Launched Since the 80 s in Different Impact Directions
,”
Proceedings of the International Research Council on Biomechanics of Injury Conference
(
IRCOBI
), Gothenburg, Sweden, Sept. 11–13, pp.
51
62
.http://www.ircobi.org/wordpress/downloads/irc13/pdf_files/14.pdf
54.
Carstensen
,
T. B. W.
,
Frostholm
,
L.
,
Oernboel
,
E.
,
Kongsted
,
A.
,
Kasch
,
H.
,
Jensen
,
T. S.
, and
Fink
,
P.
,
2012
, “
Are There Gender Differences in Coping With Neck Pain Following Acute Whiplash Trauma? a 12-Month Follow-Up Stud
,”
Eur. J. Pain
,
16
(
1
), pp.
49
60
.10.1016/j.ejpain.2011.06.002
55.
Östh
,
J.
,
Mendoza-Vazquez
,
M.
,
Sato
,
F.
,
Svensson
,
M. Y.
,
Linder
,
A.
, and
Brolin
,
K.
,
2017
, “
A Female Head-Neck Model for Rear Impact Simulations
,”
J. Biomech.
,
51
, pp.
49
56
.10.1016/j.jbiomech.2016.11.066
56.
Bogduk
,
N.
,
2011
, “
On Cervical Zygapophysial Joint Pain
,”
Spine
,
36
(
25S
), pp.
S194
S199
.10.1097/BRS.0b013e3182387f1d
You do not currently have access to this content.