Abstract
Abstract The epidemiology of spinal cord injury (SCI) has been studied extensively over the past three decades. The most accurate epidemiological data are derived from the database of the National Spinal Cord Injury Statistical Center (NSCISC), established in 1973. To date, 25 federally funded Model Spinal Cord Injury Care Systems have contributed information to this SCI database, which contains nearly 23,000 cases of traumatic SCI.81 The estimated annual incidence of traumatic SCI injury in the United States is ∼40 cases per million population, with ∼11,000 new cases each year. The estimated prevalence is ∼270,000 persons. Over the past decade, new trends in the etiology of SCI have emerged: a decrease in motor vehicle accidents (40.9%) and increases in violence (21.6%) and falls (22.4%). Nearly 60% of injuries occur in persons under age 30. The male: female ratio is 4:1.81 Table 15.1 shows the distribution of neurological level and severity of injury.
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