MIDDLETOWN, Ohio – Blowing snow and slick roads around the state Monday set off multiple highway pileups, including one near Cincinnati involving at least 86 vehicles that left a 12-year-old girl dead.

The 12-year-old had gotten out of a damaged vehicle in the Interstate 275 pileup and was standing in a median near a cable barrier.

Another vehicle hit the barrier, snapping a cable, which then struck the girl and killed her, police said.