When I see back pain patients who were involved in motor vehicle accidents,one thing I find interesting is that the patient is virtually NEVER the person at fault, or so they say. I can think of a few reasons for this:
1) The patient is lying.
2) The person who is not at fault for the accident is more likely to develop fake/semi-fake pain due to the possibility of litigation. (They are all in litigation.) Or maybe the pain is real, but they have no motivation to try to get better.
3) I do think there is a higher likelihood of getting hurt in a car accident when you're not the one at fault. Like of all the severe brain or spinal cord injury patients, when there were two people in the car, the passenger was much more likely to be the injured one. I think the person who is causing the accident might brace themself or something because they see it coming.