ArticleFrontiers in neurology2025
Who gets traumatic spinal cord injury? A Finnish tertiary trauma centre study.
Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Study design: Prospective cohort study. Objectives: To characterize patients with a new traumatic spinal cord injury and their pre-injury profiles. Setting: Tampere University Hospital, Finland. Methods: Newly injured patients ( Results: The leading causes of injury were low-level falls (48%), high-level falls (26%), and transport accidents (15%). Among patients >60 years, 63% were injured by low-level falls. Tetraplegia occurred in 87% of patients >60, compared to 63% ≤ 60 years. AIS D was the most common injury grade (44%). Complete injuries were seen in 38% of younger patients and 17% of older patients. Most patients had prior medication (72%) and at least one diagnosed disease (87%), both increasing in the older group. Overweight and low physical activity were common pre-injury characteristics. Alcohol preceded injury in 37% of cases. Low-level falls mostly caused cervical injuries (96%) and the patients seemed to have more diseases, fall-risk-increasing drugs and reduced physical activity levels compared to other etiologies. Conclusion: Low-level falls, particularly in older patients, were the leading cause of TSCI, often resulting in incomplete tetraplegia. Age-specific prevention strategies, especially fall prevention for older adults, are essential.
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