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일부 종합병원에 내원한 척추손상 환자에 대한 통계적 고찰
제영권,이동배,이영수 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2
To find out the incidence and general characteristics of the spinal injury, this study was performed with analysis of 256 cases of spinal injured patients admitted in a general hospital in Tae jeon during the last 5 years, from January 1983 to December 1987, with the 9,077 total cases of injured patients including the spinal injury, admitted as the same period. We obtained the following results. 1. The incidence rate of the spinal injury among total injred patint was 2.8%, and among its causes, fall down was 10.7%, slip down was 4.1%, traffic accident was 2.4%, and direct blow and others was 0.7% in that order. The incidences of fall down, traffic accident, direct blow and others were increased anually. The seasonal incidence was 2.6% in Spring, 2.9% Summer and Autumn, and 3.0% in Winter. 2. The ratio between male and female was 2.1:1, and the most common cause of injury in female was slip down, but that in male was fall down, but traffic accident, direct blow and others were evenly distributed. 3. For the level of spinal injury, 46.1% was lumbar, 31.6% was thoracic, and 22.2% Was cervical vertebral injury. The injury to the cervical vertebrae was more frequent in traffic accident, but injury to the thoracic and lumbar vertebrae was more frequent in fall down cases. 4. For the nerve injury, 14.5% was complete paralysis, 9.7% was nerve root injury, and 7.0% was incomplete paralysis. Incomplete paralysis was more frequent in traffic accident cases, but complete paralysis and nerve root injury were frequent in fall down cases. 5. For the age distribution, the fifth decade was the most prevalent as 20.3%, but below the 19-year-old age group was the least as 3.9%. The incidence of third to sixth decade was higher. in male than female, but that of below the 19-year-old age group and over the 60-year-old age - group was reversed. 6. In the below the 19-year-old age group, the most frequent site of injury was cervical spine, but that was lumbar in third decade and that was thoracic in over the 60-year-old age group. The most frequent cause of injury in third, forth, and sixth decades was direct blow, but in fifth decade, that was fall down and in over the 60-year-old age group, that was slip down. 7. For the nerve injury, complete paralysis was frequent in sixth and fifth decade, incomplete paralysis was frequent in third and fourth decades, but nerve root injury was frequent in fifth decade. 8. For the comparison between male and female, cervical injury was more frequent in male, but lumbar injury was more frequent in female. Complete paralysis was more frequent in male than female. g, Most complete paralysis revealed in cervical and thoracic spinal injury, but most nerve root injury revealed in lumbar spinal injury. 10. There were 19.9% of spinal injured patients who had associated injury. The most frequent associated injury was extremity fracture as 58.7% and it was most frequent in traffic accident.
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