title: Dynamic Responses of Intact Post Mortem Human Surrogates from Inferior-to-Superior Loading at the Pelvis.
abstract: During certain events such as underbody blasts due to improvised explosive devices, occupants in military vehicles are exposed to inferior-to-superior loading from the pelvis. Injuries to the pelvis-sacrum-lumbar spine complex have been reported from these events. The mechanism of load transmission and potential variables defining the migration of injuries between pelvis and or spinal structures are not defined. This study applied inferior-to-superior impacts to the tuberosities of the ischium of supine-positioned five post mortem human subjects (PMHS) using different acceleration profiles, defined using shape, magnitude and duration parameters. Seventeen tests were conducted. Overlay temporal plots were presented for normalized (impulse momentum approach) forces and accelerations of the sacrum and spine. Scatter plots showing injury and non-injury data as a function of peak normalized forces, pulse characteristics, impulse and power, loading rate and sacrum and spine accelerations were evaluated as potential metrics related to pathological outcomes with the focus of examining the role of the pulse characteristics from inferior-to-superior loading of the pelvis-sacrum-lumbar spine complex. Interrelationships were explored between non-fracture and fracture outcomes, and fracture patterns with a focus on migration of injuries from the hip-only to hip and spine to spine-only regions. Observations indicate that injury to the pelvis and or spine from inferior-to-superior loading is associated with pulse and not just peak velocity. The role of the effect of mass recruitment and injury migration parallel knee-thigh-hip complex studies, suggest a wider application of the recruitment concept and the role of the pulse characteristics.
authors.affiliation: Department of Neurosurgery, Medical College of Wisconsin.
authors.forename: Narayan
authors.initials: N
authors.lastname: Yoganandan
authors.affiliation: Department of Neurosurgery, Medical College of Wisconsin.
authors.forename: Jason
authors.initials: J
authors.lastname: Moore
authors.affiliation: Department of Neurosurgery, Medical College of Wisconsin.
authors.forename: Mike W J
authors.initials: MW
authors.lastname: Arun
authors.affiliation: Department of Neurosurgery, Medical College of Wisconsin.
authors.forename: Frank A
authors.initials: FA
authors.lastname: Pintar
mesh_terms: D000054:Acceleration; D000063:Accidents, Traffic; D001344:Autopsy; D001696:Biomechanical Phenomena / Q000502:physiology; D001753:Blast Injuries / Q000209:etiology / Q000503:physiopathology; D005107:Explosions; D006801:Humans; D008161:Lumbosacral Region / Q000293:injuries / Q000503:physiopathology; D008889:Military Personnel; D010384:Pelvic Bones / Q000293:injuries*; D010388:Pelvis / Q000293:injuries*; D013124:Spinal Injuries / Q000503:physiopathology