Europe

Pederson et al. 1989
N=29

Greenland

1965-1986
Admissions to rehabilitation hospital in Hornback with traumatic SCI

(total cases from 1965-1986)
/
(average population of Greenland from 1968, 1977, 1986)

26/million/year

Biering-Sorensen et al. 1990
N=360

Kingdom of Denmark
(Denmark, Greenland, Faroe Islands)

1975-1984
Admission to national specialized rehabilitation hospitals

(traumatic spinal cord injury for whole of Denmark)
/
(average population for 10 year period)

9.2/million/year

Knutsdottir 1993
N=79

Iceland

1973-1989
Patients admitted to rehabilitation unit in Reykjavik.

(average new cases/year)
/
(population of Iceland)

24/million/year
(1973-1982)
18/million/year
(1983-1989)

Stavrev et al. 1994
N=980

Plovdiv region,
Bulgaria

1983-1992
Treatment for SCI at 2 clinics in Plovdiv region

(1983-1992 total cases)
/
(Population of Plovdiv region)

130.6/ million/year

O’Connor & Murray 2006
N=46

Ireland

2000
Patients admitted to National Rehabilitation Hospital

(total admissions in 2000)
/
(population of Ireland in 1999)

13.1/ million/year

Van Asbeck et al. 2000
N=126

Nether-lands

1994
Defined SCI cases within national registration system
Exclusion Criteria:
Spinal contusions with no or temporary neurological symptoms.

(Total identified cases/known group)*(total group)
/
(Netherlands population)

12.1/million/year

10.4/million/year (survivors of the acute phase only)

Gur et al. 2005
N=539

South-Eastern Anatolia, Turkey

1990-1999
4 hospitals that were major referral centers for trauma

(New SCI cases)
/
(not given)

12.1/million/year

Karameh-metoglu et al. 1997
N=75

Southeast Turkey

1994
Traumatic SCI in Southeast Turkey. SCI cases identified  from emergency services, ICU, orthopedic and neurosurgery and rehabilitation medicine

(data from records of SCI)
/
(1994 Turkey census data)

16.9/million/year

Karameh-metaglu 1995
N=152

Istanbul, Turkey

1992
All new patients with SCI, including pediatrics.

(SCI cases)
/
(1992 Istanbul population)

20.8/million/year

Karacan et al. 2000
N=581

Turkey

1992
Nation-wide survey of SCI admissions to medical institutions.
Exclusion Criteria:
Patients who died before hospitalization.

(total cases from 49 cities who returned questionnaires)
/
(estimated population of the 49 cities in 1992 from State Institute of Statistics and General Directorate of Security of Ministry Interior)

12.7/million/year (1992)

Martins et al. 1998
N= 398

Central Region of Portugal

1989-1992
2 hospitals that treat all SCI in the central region of Portugal. Including deaths due to SCI and pediatric cases. Cases without neurological lesion, rehospitalization and vertebral lesions were excluded.

(SCI cases from university hospital, city hospital and  Institute of Legal Medicine)
/
(1993 census data for the 6 districts that make up the central region of Portugal)

57.8/million/year

25.4/million/year (when deaths during the first 30 days are excluded)

Hagen et al. 2010
N=366

Western Norway

1952-2001
Discharges from 8 hospitals in region with SCI.

(total incident cases in each year)
/
(population of two counties in region in each year)

6.2/million/year
(1952-1956)

26.3/million/year
(1997-2001)

Kannus et al. 2007
1970 N=29
2004 N=228

Finland

1970-2004
All persons aged 50 or older admitted to Finnish hospitals for treatment of a fall induced severe cervical spine injury

(number of cases)
/
(Finnish statistic for that population)

52/million/year (1970)

120/million/year
(2004)

Ahoniemi et al. 2008
N=1647

Finland

1976-2005
Data from Käpylä Rehabilitation Centre database

Register survey;
Medical records from registers of Käpylä Rehabilitation Centre

13.8/million/year (1976-2005)

Soopramanien 1994
N=412
(SCI=270)

Bucharest, Romania

1992-1993
SCI patients admitted to Dr Gh. Marinescu Hospital

Not given.

28.5/million/year

Koning & Frowein 1989
N=4431

Federal Republic of Germany

1983
Hospital admissions, Hamburg’s Central Office for Paraplegic Patients, German Workmen’s compensation, and General Local Health Insurance company

(Hamburg Central Office for Paraplegic Patients, General Local Health Insurance users)
/
(Hospital admissions to 16 SCI Centers in FRG, German Workmen’s Compensation new cases)

36/million/year

Caldana & Lucca 1998
N=577

Veneto, Italy

1994-1995
New cases of traumatic spinal cord injury and non-traumatic spinal cord disease treated in regional hospitals

(traumatic injury and non-traumatic disease admitted to hospitals)
/
(Veneto population)

14.3/million/year.

Garcia-Reneses et al. 1991
N=1010

Spain

1984-1985
Every traumatic and non traumatic SCI patient in specialized Spanish hospitals.

(505 acute SCI/year)
/
(38.5 million people in Spain)

13.1/million/year

8/million/year (only traumatic SCI)

Albert et al. 2005
N=934

France

2000
Rehabilitation units; Patients admitted for first stay. Ages ≥15 years.
Exclusion Criteria:
Non-traumatic etiology; Neurological impairment due to peripheral nervous lesion; paraplegia due to brain injury; Follow up or readmissions to rehab unit.

Total estimated cases in 2000
/
Population of metropolitan France over age of 15 years in 1999.

19.4/million/year