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. 2014 Sep 23;6:309–331. doi: 10.2147/CLEP.S68889

Table 4.

Incidence and causation of spinal cord injury in provinces and states of Canada and the United States of America

Annual incidence (per million) Male:female ratio Peak age (years) Cause Level of injury
British Columbia (1995–2004)18 27.9–43.4 4.4:1 Males: 15–24 (∼140/million)
Females: 85+ (∼105/million)
Traffic: 51.4%
Falls: 28.5%
Sports: 17.9%
Violence: 1.5%
Cervical: 49.7%
Thoracic: 27.4%
Lumbar/sacral: 22.9%
Alberta (1997–2000)19 52.5 2.5:1 Males: 20–29 (138/million)
Females: 15–19 (65.3/million)
Traffic: 56.4%
Falls: 19.1%
Sports: 11.3%
Struck by object/person: 5.3%
Intentional: 4.4%
Other: 3.3%
Cervical: 61.5%
Thoracic: 17.3%
Lumbar: 15.8%
Sacral/cauda equina: 1.3%
Unspecified: 4.0%
Manitoba
1981–1985 (I)
1998–2002 (II)
2003–2007 (III)21
I: 17.1
II: 19.5
III: 25.6
I: 12:1
II: 3.3:1
III: 4.4:1
Overall: 16–24 Traffic: 48.7%–52.6%
Falls: 17.2%–30.8%
Sports: 3.8%–16.1%
Violence: 4.0%–5.3%
Work: 4.3%–6.6%
Farming: 0%–5.9%
Suicide: 0%–1.9%
Other: 0%–4.3%
Cervical: 45.0%–51.3%
Thoracic: 33.0%–34.9%
Lumbar: 12.5%–21.6%
Sacral: 0%–1.3%
Ontario (1994–1999)37 1994/95: 46.2
1998/99: 37.2
1.5–3.5:1 depending on age group Males: 70+ (∼120/million)
Females: 70+ (∼80/million)
Falls: 43.2%
Traffic: 42.8%
Struck by object/person: 6.5%
Homicide/suicide: 3.6%
Other: 3.9%
Not specified
Alabama (1973–)26 29.4 4:1 Overall: 15–29 (66.7/million) Traffic: 42.3%
Violence: 21.2%
Water sports: 7.0%
Other: 29.5%
Cervical: 47.5%
Thoracic: 44.9%
Lumbar: 7%
Sacral: 0.6%
Alaska (1991–1993)23 83 5:1 Males: 25–34 (240/million)
Females: 15–24 (54/million)
Traffic: 62.6%
Falls: 21.6%
Sports: 7.2%
Firearms: 1.4%
Other: 7.2%
Cervical: 43.9%
Other: 67.6%
California (1970–1971)27 53.4 Not specified Males: 20–24
Females: 25–29
Traffic: 56%
Falls: 19%
Firearms: 12%
Sports: 7%
Other: 6%
Not specified
Mississippi (1992–1994)25 77 4:1 Males: 20–24 (258.3/million)
Females: 20–24 (50.1/million)
Traffic: 58.2%
Violence: 15.6%
Falls: 12.9%
Sports: 3.5%
Falling object: 3.5%
Other: 6.1%
Not specified
Oklahoma (1988–1990)22 40 4:1 Males: 20–24 (144/million)
Females: 15–19 (50/million)
Traffic: 50%
Falls: 20%
Sports: 13%
Violence: 11%
Falling object: 4%
Other: 2%
Not specified
Utah (1989–1991)24 43 3.2:1 Males: 15–24 (30.5%)
Females: 15–24 (30.2%)
Traffic: 49.3%
Falls: 21.1%
Sports: 15.7%
Firearms: 5.4%
Other: 8.5%
Not specified