Abstract
Study design:
Register survey.
Objective:
To provide national Finnish data on the incidence of traumatic spinal cord injury (TSCI) over a 30-year period.
Setting:
Käpylä Rehabilitation Centre, Helsinki, Finland.
Methods:
Patients aged 16 years and older who sustained a TSCI between 1976 and 2005 were identified using the registers of the Käpylä Rehabilitation Centre.
Results:
The medical records of a total of 1647 patients (1362 men and 285 women) were analyzed. The mean annual incidence rate for the entire population was 13.8/1 000 000. Age-adjusted incidence did not change among men or women during the three decades, but the mean age at injury of both men (from 34.7 to 42.4 years) and women (from 35.8 to 40.4 years) increased. The annual incidence of new TSCI rose significantly in persons 55 years and older. The proportion of tetraplegia and of incomplete injuries increased, too.
Conclusion:
Although TSCI is predominantly present in young men, more attention for primary prevention, medical care and rehabilitation in men and women aged 55 years and older is needed. An international uniformity in methodology to collect epidemiological data of TSCI is needed.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Blumer CE, Quine S . Prevalence of spinal cord injury: an international comparison. Neuroepidemiology 1995; 14: 258–268.
Dahlberg A, Kotila M, Leppänen P, Alaranta H . Prevalence of spinal cord injury in Helsinki. Spinal Cord 2005; 43: 47–50.
ÓConnor PJ . Prevalence of spinal cord injury in Australia. Spinal Cord 2005a; 43: 42–46.
Wyndaele M, Wyndaele J-J . Incidence, prevalence and epidemiology of spinal cord injury: what learns a worldwide literature survey? Spinal Cord 2006; 44: 523–529.
Maharaj JC . Epidemiology of spinal cord paralysis in Fiji:1985–1994. Spinal Cord 1996; 34: 549–559.
Nobunaga AI, Ko BK, Karunas RB . Recent demographic and injury trends in people served by the model spinal injury care systems. Arch Phys Med Rehabil 1999; 80: 1372–1382.
ÓConnor PJ . Forecasting of spinal spinal cord injury annual case numbers in Australia. Arch Phys Med Rehabil 2005b; 86: 48–51.
Saikkonen J, Karppi P, Huusko TM, Dahlberg A, Mäkinen J, Uutela T . Life situation of spinal cord-injured persons in Central Finland. Spinal Cord 2004; 42: 459–465.
Statistics Finland. www.tilastokeskus.fi.
Maynard FM, Bracken MB, Creasey G, Ditunno JF, Donovan WH, Ducker T et al. International standards for neurological and functional classification of spinal cord injury. Spinal Cord 1997; 35: 266–274.
Biering-Sörensen F, Pedersen V, Clausen S . Epidemiology of spinal cord lesions in Denmark. Paraplegia 1990; 28: 105–118.
Knutsdottir S . Spinal cord injuries in Iceland 1973–1989. A follow up study. Paraplegia 1993; 31: 68–72.
Levi R . The Stockholm Spinal Cord Injury Study: medical, economical and psycho-social outcomes in a prevalence population. Doctoral dissertation. Karolinska Institute: Stockholm, 1996.
Hjeltnes N . Incidence of Norwegian SCI Patients. Personal communication, 2007.
Kannisto M . Pediatric spinal cord injury, years after the lesions. Ph D thesis, Hospital for Children and Adolescents. University of Helsinki: Finland, Helsinki, 1999, p109.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ahoniemi, E., Alaranta, H., Hokkinen, EM. et al. Incidence of traumatic spinal cord injuries in Finland over a 30-year period. Spinal Cord 46, 781–784 (2008). https://doi.org/10.1038/sc.2008.53
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/sc.2008.53
Keywords
This article is cited by
-
Temporal changes in demographic and injury characteristics of traumatic spinal cord injuries in Nordic countries - a systematic review with meta-analysis
Spinal Cord (2022)
-
Epidemiology of traumatic spinal cord injury in Finland
Spinal Cord (2021)
-
Incidence of adult traumatic spinal cord injury in Saint Petersburg, Russia
Spinal Cord (2019)
-
Change in the profile of traumatic spinal cord injury over 15 years in Spain
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2018)
-
Epidemiology of spinal fractures and associated spinal cord injuries in Iceland
Spinal Cord Series and Cases (2018)


