Incidence of traumatic spinal cord injury worldwide: a systematic review

Jazayeri, Seyed Behzad; Beygi, Sara; Shokraneh, Farhad; Hagen, Ellen Merete; Rahimi‐Movaghar, Vafa

doi:10.1007/s00586-014-3424-6

Cited by 279 publications

(205 citation statements)

References 96 publications

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“…[3] A fraction of the multifaceted issues regarding TSCI prevention may relate to knowledge and understanding of the causes of injury, in that these insights could guide appropriate preventive strategies. The research community has made significant strides in that regard, and we now know that causes of injury differ between continents, [4,5] let alone countries. [6] However, our knowledge of differences in characteristics and outcomes across causes of injury remains insufficient.…”

Section: Researchmentioning

confidence: 99%

Characteristics and outcomes of gunshot-acquired spinal cord injury in South Africa

Joseph

2017

S Afr Med J

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Background. Spinal cord injuries (SCIs) caused by assault present a unique challenge facing the healthcare system, in that very little is known about how these injuries manifest compared with other causes of injury. Understanding the nuances of gunshot SCIs could contribute towards better care provision. Objective. To determine the characteristics of gunshot SCI and compare both injury characteristics and outcomes between gunshot SCI and all other traumatic causes taken together. Methods. The gunshot SCI sub-cohort was derived from a 1-year prospective, population-based study, including both tertiary-level hospitals providing SCI care in the Cape Metropolitan area of South Africa (SA). All consenting 145 survivors, after a window period of 7 days, were included, and their demographic and injury characteristics were captured according to the International SCI Core Basic Data Set. Further, selected secondary medical complications (outcomes) were prospectively and routinely assessed throughout acute care. Both descriptive and inferential statistics were used to describe and compare characteristics and outcomes, respectively. Results. Of the 145 survivors of traumatic SCIs, 45 (31%) injuries were caused by gunshots. The gunshot SCI group consisted mainly of males (n=43; 96%), and the average age of injury onset was 26 years. Most survivors of the gunshot SCI group were paraplegic (69%), had complete lesions (69%) and vertebral injuries (96%), and presented with significant associated injuries (84%). When comparing gunshot SCI with all other traumatic causes, significant differences were found in relation to demographic and injury characteristics and adverse outcomes, indicating that those survivors with gunshot SCI were typically younger males with complete paraplegia, had more frequent secondary medical complications, and a longer hospital stay. Conclusion. This study contributes to the knowledge base of survivors with gunshot SCIs in a region of SA. Efforts should be made to reduce the occurrence of all gunshot SCIs, since those injuries impact survivors negatively in terms of injury characteristics and adverse outcomes.

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Section: Researchmentioning

confidence: 99%

Characteristics and outcomes of gunshot-acquired spinal cord injury in South Africa

Joseph

2017

S Afr Med J

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“…1,2,6 However, methodological inconsistency is one of the reasons for this perceived disparity. A recent worldwide review 7 and another including developing countries only, 8 estimated incidence rates of TSCI between 3.6 and 195.4 and 2.1-130.7 per million, respectively. Further, younger males remain at greater risk and the main causes of injury are context dependant.…”

Section: Introductionmentioning

confidence: 99%

“…8 Uniform across reports were the limited empirical data available for the Carribean and Latin America, and specifically Africa and Asia. 1,2,6,7 The lack of knowledge and prevention could result in a relatively stable incidence and an increased prevalence of TSCI.…”

Section: Introductionmentioning

confidence: 99%

Incidence and aetiology of traumatic spinal cord injury in Cape Town, South Africa: a prospective, population-based study

et al. 2015

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Study design: Prospective, regional population-based study. Objectives: To provide the incidence, aetiology and injury characteristics of traumatic spinal cord injury (TSCI) in the City of Cape Town, South Africa. Setting: All government-funded hospitals within the City of Cape Town, South Africa. Methods: All survivors of acute TSCI, given that they met the inclusion criteria, were prospectively included for a 1-year period. The International Spinal Cord injury Core Data Set was used and systematically completed by specialist doctors. Further, international standards for neurological classification were adhered to. Results: In total, 147 cases of acute TSCI were identified and 145 were included in the study. The male to female ratio was 5.9:1 and the mean age was 33.5 years, ranging from 18 to 93. The crude incidence rate was 75.6 per million (95% CI: 64.3-88.8) with assault as the main cause of injury, accounting for 59.3% of the cases, followed by motor vehicle accidents (26.3%) and falls (11.7%). Most injuries occurred in the cervical spine (53.1%), and American Spinal Injury Association Impairment Scale A severity was most common (39.3%) in the cohort. Conclusion: The incidence rate of TSCI in a region of South Africa was high when compared to previously postulated figures for the country. There is a need for primary preventative strategies to target younger men that are exposed to violent activities. A national study is required to learn whether these findings are only locally applicable or generalisable.

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“…There are more than one million patients with spine injury and SCI in China, and the number is still growing with 120,000 cases per year. [1][2][3][4][5][6] Restoring function in people with SCI is one of the most challenging tasks in clinical practice. Recently, neurorestorative strategies have been translated to clinical practice, and patients have benefited and their quality of life has improved.…”

Section: Introductionmentioning

confidence: 99%

Clinical therapeutic guideline for neurorestoration in spinal cord injury (Chinese version 2016)

Feng¹,

Sun²,

Chen³

et al. 2017

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Abstract:Restoring functions following spinal cord injury (SCI) was the most challenging task in clinical practice in the past. Fortunately, some effective neurorestorative methods have been exploited in acute, subacute, and chronic phase of SCI. There were no clinical neurorestorative therapeutic guidelines available before this document which can be followed by physicians to manage patients with acute, subacute, and chronic SCI. This guideline will be a helpful reference to physicians to implement their neurorestorative strategies that can help to improve the neurological functions in patients with SCI and their quality of life.

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Incidence of traumatic spinal cord injury worldwide: a systematic review

Cited by 279 publications

References 96 publications

Characteristics and outcomes of gunshot-acquired spinal cord injury in South Africa

Characteristics and outcomes of gunshot-acquired spinal cord injury in South Africa

Incidence and aetiology of traumatic spinal cord injury in Cape Town, South Africa: a prospective, population-based study

Clinical therapeutic guideline for neurorestoration in spinal cord injury (Chinese version 2016)

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