Incidence rates and populations at risk for spinal cord injury: A regional study

Burke, Darlene A.; Linden, R D; Zhang, Y P; Maiste, A.; Shields, C B

doi:10.1038/sj.sc.3101158

Cited by 122 publications

(103 citation statements)

References 13 publications

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“…MVCs were the leading cause of TSCI in developed countries in the few last decades, 2,5,7,14 However, in our study, falls were the main causes of TSCI, similar to that of other developing countries. 15,16 Low falls were more common in those over 75 years of age (80.0% in this age group), followed by those in 61-to 75-year group (70.2%).…”

Section: Discussionsupporting

confidence: 63%

“…1 Internationally, incidence rates for SCI range from 10.4 to 83 cases per million of population, 1 with significant differences between different countries or regions. Burke et al 2 estimated an adjusted average incidence rate of SCI was 27.1 cases per million between 1993 and 1998 in the northwestern Kentucky and southern Indiana regions in the United States. In Australia, O'Connor 3 showed the agestandardized SCI incidence rate for 14.5 per million persons in 1998/1999.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of traumatic spinal cord injury in Tianjin, China

et al. 2010

Spinal Cord

109

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Results: A total of 869 patients were included, with an estimated annual incidence was 23.7 per million populations. The male/female ratio was 5.63:1. Mean age of TSCI was 46.0 ± 14.2 years (men 45.8±14.2 years, women 47.5±14.5 years), with a range of 16-90 years. Falls were regarded as the leading causes of injury, followed by motor vehicle collisions. The lesion level was cervical in 71.5%, thoracic in 13.3% and lumbar/sacral in 15.1%. The frequency of tetraplegia (71.5%) was higher than paraplegia (28.5%), and roughly four-fifth of tetraplegia cases were incomplete injury. Conclusion: To our knowledge, national or local epidemiological study of spinal cord injury (SCI) has not been carried out previously in China. The number of SCI patients in this country is large and would increase gradually. Similar to other developing countries, falls were the main causes of TSCI. Low falls were more common in those over 60 years old. As the ageing society coming, the number of low falls-induced TSCI would increase gradually, which poses a challenge to the society health system.

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Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Epidemiology of traumatic spinal cord injury in Tianjin, China

et al. 2010

Spinal Cord

109

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“…8,16,17 Although GSWSCI patients had a low rate of cervical SCI, upper thoracic SCI (T1-6) was more common than in the NGSWSCI group (46.7% vs 20.4%).…”

Section: Discussionmentioning

confidence: 99%

Spinal cord injury resulting from gunshot wounds: a comparative study with non-gunshot causes

et al. 2016

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Study design: Retrospective, comparative 7-year study. Objectives: To identify the clinical characteristics of patients with spinal cord injury (SCI) resulting from gunshot wound (GSW). Setting: Turkish Armed Forces Rehabilitation Center, Ankara, Turkey. Methods: The study included 1043 consecutive patients with SCI who were divided into two groups according to etiology: patients with gunshot-induced spinal cord injury (GSWSCI) constituted the study group, and randomly selected patients with non-gunshot-induced spinal cord injury (NGSWSCI) who were matched for gender and for week of admission constituted the control group. The demographic and clinical characteristics of the patients were recorded, compared and analyzed. Results: The study group included 102 patients (mean age: 26.93 ± 9.11 years). The vast majority of the patients were aged 16-30 years (68.6%) and 90.2% were male. The majority of the lesions were at the thoracic level (58.8%) and a complete injury (60.8%). Surgical stabilization of the spine was performed in 50 patients (49%). The most prevalent associated injury was intra-abdominal injury followed by chest injury. Compared with the NGSWSCI group, the GSWSCI patients were more likely to have a complete lesion (60.8% vs 45.1%, P = 0.025), had a lower rate of surgical stabilization (49 vs 88.2%, P = 0.0001) and had a higher rate of associated injuries (54.9% vs 25.5%, P = 0.0001). Compared with the civilian GSWSCI group, the military GSWSCI patients had a higher rate of surgical stabilization and associated injuries (60% vs 40%, P = 0.049, 68.9% vs 43.9%, P = 0.012, respectively). Conclusion:The results revealed that GSWSCI and military GSWSCI patients may have different demographic and clinical features compared with NGSWSCI and civilian GSWSCI patients, respectively.

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“…We believe this to be the first case of the use of kyphoplasty to be published in the literature in relation to a traumatic cervical fracture. One year postoperatively, the patient complains of no neck pain and a near normal range of cervical motion.Historical review of the condition, epidemiology, diagnosis, pathology, differential diagnosisThe annual incidence of spinal cord injury is 5-40 per million, 49-55% of which results from cervical spine injury [1,2]. Most cervical spine fractures occur…”

mentioning

confidence: 99%

“…The annual incidence of spinal cord injury is 5-40 per million, 49-55% of which results from cervical spine injury [1,2]. Most cervical spine fractures occur predominantly at two levels.…”

mentioning

confidence: 99%

A traumatic, high-energy and unstable fracture of the C5 vertebra managed with kyphoplasty: a previously unreported case

Quraishi

Elsayed

2011

Eur Spine J

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Unstable cervical fractures commonly require fusion surgery. We present a case of an unstable cervical fracture (AO classification A2.2) affecting the fifth cervical vertebra which was managed by kyphoplasty to achieve a painfree, functional and stable outcome. The decision to undertake a kyphoplasty procedure was made in the hope of preserving motion and limiting the degree of future adjacent segment disease. We believe this to be the first case of the use of kyphoplasty to be published in the literature in relation to a traumatic cervical fracture. Additionally, at one-year follow-up the patient reports no pain, a near full range of motion in the cervical spine and no neurological deficit. Case presentationA 22-year-old man was admitted complaining of neck pain having been involved in a road traffic accident while riding his motorcycle. Initial radiographs and computed tomography scanning revealed an unstable cervical spine fracture (AO classification A2.2). There was no neurological deficit, and he was managed with cervical immobilisation pending definitive surgical management.After counselling the patient, a decision was made to perform kyphoplasty of the affected vertebra to preserve motion and limit the degree of adjacent segment disease. The alternative method of managing such a fracture would have been to perform an anterior corpectomy and fusion either by an iliac crest graft or a cage with local bone and plating from C4 to C6. There is, of course, the likely problem of early degeneration of the adjacent levels related to a fusion procedure. We believe this to be the first case of the use of kyphoplasty to be published in the literature in relation to a traumatic cervical fracture. One year postoperatively, the patient complains of no neck pain and a near normal range of cervical motion.Historical review of the condition, epidemiology, diagnosis, pathology, differential diagnosisThe annual incidence of spinal cord injury is 5-40 per million, 49-55% of which results from cervical spine injury [1,2]. Most cervical spine fractures occur

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Incidence rates and populations at risk for spinal cord injury: A regional study

Cited by 122 publications

References 13 publications

Epidemiology of traumatic spinal cord injury in Tianjin, China

Epidemiology of traumatic spinal cord injury in Tianjin, China

Spinal cord injury resulting from gunshot wounds: a comparative study with non-gunshot causes

A traumatic, high-energy and unstable fracture of the C5 vertebra managed with kyphoplasty: a previously unreported case

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