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Iran J Neurosurg 2026, 12 - Contnious Publishing: 0-0 |
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Barati H, Homaei Rad E, Fattahi E. Structural Resilience at Low Cost: Rethinking Spinal Cord Injury Prevention. Iran J Neurosurg 2026; 12 : 7
URL: http://irjns.org/article-1-562-en.html
URL: http://irjns.org/article-1-562-en.html
1- Guilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran
2- Social Determinants of Health Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran ,Esmaeil.fattahi1@gmail.com
2- Social Determinants of Health Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.
3- Department of Health Education and Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran ,
Abstract: (12 Views)
Spinal cord injury (SCI) remains one of the most consequential outcomes across spine, trauma, and rehabilitation care. Although global analyses have strengthened our ability to describe where traumatic SCI concentrates and how patterns change over time, improved prediction does not automatically translate into fewer catastrophic outcomes. For road traffic collision (RTC), related SCI, severity and early deterioration are shaped not only by the crash event but also by system characteristics: the road environment and speed management that influence impact forces; variation in vehicle safety and protective equipment; the reliability of prehospital and referral pathways; and social and financial conditions that affect timely access to appropriate care. This
Commentary proposes Preventive Resilience Architecture (PRA), a pragmatic framework that complements “safe systems” approaches by explicitly targeting the chain from hazard to injury severity to early pathway performance. PRA organizes prevention into three interacting pillars: structural resilience (design that reduces injury severity when collisions occur), social resilience (reliable early pathways that reduce avoidable delays and failures), and cognitive resilience (decision environments that support safer behavior beyond education alone). We conclude with a feasible 12-month action package and minimal indicators that spine and rehabilitation stakeholders can use to prioritize, coordinate, and evaluate low-cost prevention efforts without exaggerating causal claims
Commentary proposes Preventive Resilience Architecture (PRA), a pragmatic framework that complements “safe systems” approaches by explicitly targeting the chain from hazard to injury severity to early pathway performance. PRA organizes prevention into three interacting pillars: structural resilience (design that reduces injury severity when collisions occur), social resilience (reliable early pathways that reduce avoidable delays and failures), and cognitive resilience (decision environments that support safer behavior beyond education alone). We conclude with a feasible 12-month action package and minimal indicators that spine and rehabilitation stakeholders can use to prioritize, coordinate, and evaluate low-cost prevention efforts without exaggerating causal claims
Article number: 7
Keywords: Spinal cord injury, Road traffic collisions, Injury prevention, Emergency medical services, Health equity, Systems resilience
Type of Study: Letter to Editor |
Subject:
Neurotrauma
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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