Spinal cord injury (SCI) is a catastrophic and costly result of both i
ntentional and unintentional injury. We present data from the Health S
tatistics Services files of New Zealand for the year 1988 on the epide
miology of SCI resulting in morbidity. New Zealand has one of the high
est rates of SCI in the western world and since 1979 this has been inc
reasing. It occurs most often to young, caucasian men and is typically
the result of motor transport crashes. The ethnicity adjusted rates s
how high rates for Maori males. Children in New Zealand have greater t
han 4 times the risk of an SCI than American children. The rehabilitat
ion and hospital costs for SCI are among the highest for all injuries.
There were a higher number of high cervical injuries than reported in
previous series and 92 % of SCI were incomplete indicating the high r
ehabilitation potential of the sample. Some measures are suggested to
reduce the incidence of SCI.