This study examines the rate, severity and nature of moderate to fatal cervical spine injury (AIS ≥ 2) for restrained (lap and diagonal belt) front seat occupants, who did not receive head impacts during the crash phase. The incidence of such injury was found to be 1.2% of the police reported killed and seriously injured front seat belted occupants within the UK's Co-operative Crash Injury Study (CCIS) database. The majority of these injuries were not life threatening, with 77% sustaining an AIS = 2 injury only. Due to the rarity of such injuries conventional analysis methods were not applied, instead case studies are reported. From a sample of 22 cases, 77% of the impact types were frontal, and females had a higher incidence of injury than males, particularly elderly females.