Abstract
Objective:
The objective of this study is to assess the temporal trends in the incidence and demographic characteristics of traumatic spinal cord injury (TSCI) among children and adolescents in a geographically defined cohort in western Norway during 1952–2001.
Methods:
The patients included in this study were identified from the hospital records.
Results:
Of 336 patients, 13 (3.9%) patients were 0–14 years at time of injury, and 44 (13.1%) patients were 15–19 years at time of injury. The average age-adjusted incidence was 2.4 per million children and 25.1 per million adolescences. Children were injured in car and pedestrian accidents, whereas adolescences were injured in car and motorcycle accidents.
Conclusions:
The age-adjusted incidence of TSCI among the adolescents increased, whereas the age-adjusted incidence among children remained low during the 50 years. TSCI was highly associated with car and pedestrian accidents among children. Among adolescence, TSCI was associated with car and motorcycle accidents. Awareness of these factors is important in prevention planning strategies.
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References
Barker RN, Kendall MD, Amsters DI, Pershouse KJ, Haines TP, Kuipers P . The relationship between quality of life and disability across the lifespan for people with spinal cord injury. Spinal Cord 2009; 47: 149–155.
Hagen EM, Lie SA, Rekand T, Gilhus NE, Gronning M . Mortality after traumatic spinal cord injury: 50 years of follow-up. J Neurol Neurosurg Psychiatry 2010; 81: 368–373.
Puisto V, Kaariainen S, Impinen A, Parkkila T, Vartiainen E, Jalanko T et al. Incidence of spinal and spinal cord injuries and their surgical treatment in children and adolescents a population-based study. Spine 2010; 35: 104–107.
Augutis M, Malker H, Levi R . Pediatric spinal cord injury in Sweden; how to identify a cohort of rare events. Spinal Cord 2003; 41: 337–346.
Hagen EM, Eide GE, Rekand T, Gilhus NE, Gronning M . A 50-year follow-up of the incidence of traumatic spinal cord injuries in Western Norway. Spinal Cord 2010; 48: 313–318.
Hagen EM, Eide GE, Rekand T, Gilhus NE, Gronning M . Traumatic spinal cord injury and concomitant brain injury; a cohort study. Acta Neurol Scand 2010; 122 (Suppl 190): 51–57.
Kraus JF, Franti CE, Riggins RS, Richards D, Borhani NO . Incidence of traumatic spinal cord lesions. J Chronic Dis 1975; 28: 471–492.
Maynard FM, Bracken MB, Creasey G, Ditunno JF, Donovan WH, Ducker TB et al. International standards for neurological and functional classification of spinal cord injury. Spinal Cord 1997; 35: 266–274.
Statistics Norway. Statistical Yearbook of Norway 2009. Statistics Norway; Oslo, Norway, 2009.
Teasdale G, Jennett B . Assessment of coma and impaired consciousness—practical scale. Lancet 1974; 2: 81–84.
Hagen EM, Rekand T, Gilhus NE, Gronning M . Diagnostic coding accuracy for traumatic spinal cord injuries. Spinal Cord 2009; 47: 367–371.
Lydersen S, Fagerland MW, Laake P . Recommended tests for association in 2 × 2 tables. Stat Med 2009; 28: 1159–1175.
Student. The probable error of a mean. Biometrika 1908; 6: 1–25.
Vitale MG, Goss JM, Matsumoto H, Roye Jr DP . Epidemiology of pediatric spinal cord injury in the United States: years 1997 and 2000. J Pediatr Orthop 2006; 26: 745–749.
Augutis M, Levi R . Pediatric spinal cord injury in Sweden: incidence, etiology and outcome. Spinal Cord 2003; 41: 328–336.
DeVivo MJ, Vogel LC . Epidemiology of spinal cord injury in children and adolescents. J Spinal Cord Med 2004; 27 (Suppl 1): S4–S10.
Apple DF, Anson CA, Hunter JD, Bell RB . Spinal-cord injury in youth. Clin Pediatr 1995; 34: 90–95.
Augutis M . Pediatric Spinal Cord Injury, PhD Thesis Karolinska Institutet, Department of Neurobiology, Health Care Science and Society, Division of Neurorehabiliation: Stockholm, Sweden, 2007.
Bilston LE, Brown J . Pediatric spinal injury type and severity are age and mechanism dependent. Spine 2007; 32: 2339–2347.
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Appendix 1
Appendix 1
International Classification of Diseases (ICD) 8–10 codes used in this study

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Hagen, E., Eide, G. & Elgen, I. Traumatic spinal cord injury among children and adolescents; a cohort study in western Norway. Spinal Cord 49, 981–985 (2011). https://doi.org/10.1038/sc.2011.42
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DOI: https://doi.org/10.1038/sc.2011.42
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