Abstract
Because of the high-energy force of the event, injuries to the spinal cord are often associated with fractures of bone. Analyzing data on 18,087 patients with spinal cord injury (SCI) receiving initial hospital care from the 24 Model SCI Care Systems from 1973 through 1999, we documented that the incidence of extraspinal fractures was 27.8 per 100 patients, with rib/sternum being the most common site of fractures. Injury etiology and level of neurologic deficit were the most important factors determining the presence and location of fractures. The incidence varied by age, gender, race, injury year, and completeness of neurologic deficit. This study establishes a baseline for future investigations.
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