Epidemiology of spinal cord injuries in Novosibirsk, Russia

Abstract

The incidence of spinal cord injuries (SCI) in Novosibirsk is 29.7 per million per year. Almost all of these SCI patients (94,3%) are hospitalized to our clinic. Over the past 5 years (since 1989), a total of 196 patients with SCI were admitted, SCI were distributed as follows: cervical, 96 patients (49.0%); thoracic, 54 (27.5%); and lumbar, 46 (23,5%). SCI was diagnosed using computed tomography (CT), magnetic resonance imaging (MRI), pneumomyelography, epidurography, radiography and electrophysiological methods (neuromyography, evoked potentials). All patients had a neurological deficit of varying degree; Frankel grade A, 64 patients (32.7%); B, 22 (11.2%); C, 67 (34,2%); and D, 43 (21.9%). Almost 40% (39.7%) of the patients had unstable fractures, most of them being in the cervical spine. One hundred and ninety patients were operated on, 52 within 3-4 h after trauma. Several types of operation were used: anterior decompression (106 patients); posterior decompression (64 patients); omentomyelopexia (seven patients); meningomyelo radiculolysis (13 patients). Conservative treatment ('halo' traction) was applied in six patients. No patient was made worse because of the surgery, Twenty four patients had a complete neurological recovery, 113 patients could be reclassified into a higher group (Frankel classification), and 59 patients had no neurological improvement. The overall mortality was 16.8% (13.7 postoperatively).

The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate

“…New Estonian data are combined with regional data for Russia [41][42][43] and show the main causes of TSCI in Estonia and Russia (Novosibirski and Saint Petersburg) were falls (median 40%) and land transport (median 25%). values were calculated from information contained in Supplementary Table 3.…”

Epidemiology of traumatic spinal cord injury in Tianjin, China

“…Otom et al 8 reported that the incidence rates for traumatic spinal cord injury (TSCI) of 18 per million populations in Jordan, from January 1988 to December 1993. In Russia, 9 this rate was 29.7 per million per year between 1989 and 1994.…”

Analysis of the causes and types of traumatic spinal cord injury based on 561 cases in China from 2001 to 2010

“…The mean age is lower in Iran (31 years), Russia (34.2 years) and Jordan (33 years). 5,14,19 The younger average age of TSCI patients in developing countries is related to the large number of young people working in the industrial economy and inherent habits and lifestyles. For example, young people usually sleep on rooftops during hot summers in Turkey, and young people climb trees to pick fruit in South Asia.…”

“…[9][10][11][12][13] However, falling was the primary injury cause of TSCI in developing countries, such as Russia, Pakistan, Nepal and some portions of southern Asia. [14][15][16] Similar to other developing countries, the top three causes of TSCI in the hospitalized patients in Beijing (according to a sampling survey conducted in 2002) were falling from a height (37.5%), transportation accidents (26.9%) and being struck by an object (16.3%). 8 In the present study, 561 TSCI patients whose injuries occurred between 2001 and 2010 were recruited.…”