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Volunteer subject studies in low-speed rear impacts have shown that significant lumbar spine injuries are unlikely in such collisions. Anthropomorphic test devices (ATD) used in low to medium speed rear impact simulations have similarly revealed an unlikely mechanism to cause lumbar spine injuries. However, low back complaints after rear impacts are common in clinical practice. We attempt here to determine the incidence of lumbar spine injuries from actual field data which may provide an insight into the apparent paradox between experimental data and clinical practice. We examined the incidence of all spine injuries in the NASSCDS (National Automotive Sampling System - Crashworthiness Data System) database from 1993 to 2009. We limited the data to only look at rear-end crashes involving two vehicles.