Spinal cord injuries are common in the United States, with over 20,000 occurring annually. Motor vehicle crashes are the leading cause, responsible for 37% of injuries. The costs of long-term care for spinal cord injuries are immense, averaging $1 million in the first year and $4 million over a lifetime. Distracted driving from activities like cell phone use contributes to thousands of injuries and deaths each year in the US. Teen drivers are particularly at risk from distracted and impaired driving.