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Study design:

Literature review.

Objectives:

To map traumatic spinal cord injury (TSCI) globally and provide a framework for an ongoing repository of data for prevention.

Setting:

An initiative of the ISCoS Prevention Committee.

Methods:

The results obtained from the search of Medline/Embase using search phrases: TSCI incidence, aetiology, prevalence and survival were analysed. Stratification of data into green/yellow/red quality ‘zones’ allowed comparison between data.

Results:

Reported global prevalence of TSCI is insufficient (236–1009 per million). Incidence data was comparable only for regions in North America (39 per million), Western Europe (15 per million) and Australia (16 per million). The major cause of TSCI in these regions involves four-wheeled motor vehicles, in contrast to South-east Asia where two-wheeled (and non-standard) road transport predominates. Southern Asia and Oceania have falls from …