Abstract
Motor vehicle crashes continue to be the leading cause of death and acquired disability for children < 19 years old in the United States, 1 and road traffic injuries account for more than 260,000 pediatric deaths worldwide each year.2 Fortunately, for children who are too small for adult seat belts, child safety seats (CSS), in the form of either a harness-based restraint or belt-positioning booster seat, can significantly reduce the risk of injury and death 3-5 in a crash by helping to distribute forces over hard, bony surfaces and preventing ejection from the vehicle. Substantial increases in child restraint use in the United
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