Causes

Falls, followed by contact with objects were the two most common causes of hospitalisations across all injuries in 2020-21 (AIHW 2023b). Falls were similarly the leading cause of spinal injury hospitalisations (56% or 14,800 cases) followed by transport (31% or 8,100 cases).  

Spinal injury hospitalisations contributed to 6% of fall-related injury hospitalisations and 12% of transport-related injury hospitalisations overall.

For fall related spinal injury hospitalisations:

  • Among females, 2 in 3 spinal injury hospitalisations were due to a fall (63%). This proportion is higher than the proportion of all female injury hospitalisations due to falls (52%).
  • Among males, half of spinal injury hospitalisations were due to a fall (50%). This proportion is higher than the proportion of all male injury hospitalisations due to falls (34%).
  • The most frequently recorded activity at time of fall was while resting, sleeping, eating or engaging in other vital activities (13%), followed by while engaged in other types of work (11%). For the majority, activity at time of fall was unspecified or missing in hospital records (63%).
  • Falls involving beds contributed to 52% of fall injury hospitalisations occurring while resting, sleeping, eating or engaging in other vital activities.

For transport related spinal injury hospitalisations:

  • Forty-four percent of all transport related spinal injury hospitalisations involved car occupants and 20% involved motorcyclists, followed by pedal cyclists (13%) and pedestrians (6%). These proportions are higher than the proportions of car and motorcyclist hospitalisations due to transport related injuries overall (31% and 25%, respectively).
  • Sixty-three percent of spinal injury hospitalisations due to transport related causes were in males.

Figure 5: Proportion of spinal injury hospitalisations, by cause, 2020–21

A bar chart showing the highest crude rates for spinal injury hospitalisations by cause. Falls followed by transport contributed to the highest numbers and rates of spinal injury hospitalisations. 

References

AIHW (2023) Injury in Australia, AIHW, Australian Government, accessed 25 August 2023.