@article{ref1,
title="Incidence of adult traumatic spinal cord injury in Saint Petersburg, Russia",
journal="Spinal Cord",
year="2019",
author="Mirzaeva, Lyudmilla and Gilhus, Nils Erik and Lobzin, Sergey and Rekand, Tiina",
volume="57",
number="8",
pages="692-699",
abstract="STUDY DESIGN: Retrospective population-based cohort study. <br><br>OBJECTIVES: To characterise the epidemiology of traumatic spinal cord injury (TSCI) among the inhabitants of Saint Petersburg, Russia. SETTING: All hospitals in Saint Petersburg. <br><br>METHODS: Charts for all individuals admitted to city hospitals from 1st January 1 2012 to 31st December 2016 with acute TSCI were reviewed. Incidence rates were calculated for the whole period and for each year separately. Gender-specific and age-specific incidence rates were calculated, and epidemiological characteristics and possible risk factors were analysed. <br><br>RESULTS: A total of 361 people were identified. The average annual incidence rate was 17.6 per million, varying from 21.2 (2013) to 13.6 (2016), and 70.9% were men. Mean age at injury was 42.1 years. Injuries from falls represented 49.8% of cases, and motor vehicle accidents 18.9%. The male:female ratio in the low-falls group was 1.2:1, and among the elderly patients, it was 0.5:1. Lesions at the cervical level were involved in 49.3%, thoracic in 24.7%, and lumbar/sacral in 23.5%. TSCI was complete in 16.9%. Concomitant injuries occurred in 47.2% of cases, and traumatic brain injuries in 37.7%. <br><br>CONCLUSION: TSCI incidence decreased during the observation period and was 2.4 times more common among men than women. In half of the cases, injuries involved the cervical level, and a fall was the most frequent injury cause. Elderly women more often had falls from a low height than men. Multiple injuries-most frequently traumatic brain injuries-were common.<p /> <p>Language: en</p>",
language="en",
issn="1362-4393",
doi="10.1038/s41393-019-0266-4",
url="http://dx.doi.org/10.1038/s41393-019-0266-4"
}