Abstract：
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.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Joseph C,Delcarme A,Vlok I,Wahman K,Phillips J,Nilsson Wikmar Ldoi
10.1038/sc.2015.51subject
Has Abstractpub_date
2015-09-01 00:00:00pages
692-6issue
9eissn
1362-4393issn
1476-5624pii
sc201551journal_volume
53pub_type
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