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Trends in RTA related spinal injuries: the post penalty points era
J S Butler1, J P Burke, D G Healy
1National Spinal Injuries Unit, Dept of Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin.
Background:
On October 31st 2002 a system of cumulative penalty points for road traffic offences was introduced. Early evidence suggested a reduction in road traffic accident (RTA) related morbidity.
Aims:
To evaluate the persistence of the initial reduction in RTA related spinal injuries following penalty points introduction.
Methods:
Retrospective review of all acute spinal trauma admissions to the NSIU between November 1st 1998 and October 31st 2004 (n = 966). Patient demographics and injury aetiology were assessed. Follow-up questionnaires evaluated RTA circumstances.
Results:
RTA related spinal injuries accounted for 39.3% of NSIU admissions. These injuries were significantly more common in males aged 16-24, drivers (70.8%), on routine journeys (77.5%) and rural roads (48.8%). The highest proportion of accidents occurred during weekends (64.3% from Fri-Sun) and from midnight to 6am (29.3%).
Conclusions:
The initial reduction in RTA related spinal injuries has not been sustained. Young male drivers are the greatest at risk group.
