| 제목 |
Epidemiologic changes in traumatic spinal cord injury for last 30 years(1990-2019) in Korea |
| 소속 |
National Rehabilitation Center, Department of Rehabilitation Medicine1 |
| 저자 |
Dae Hoon Ham1*, On Yoo Kim1*†, Bum Suk Lee1† |
Objectives
There is not enough epidemiologic data for spinal cord injury in Korea. So the purpose of this study was to describe epidemiologic changes after traumatic spinal cord injury for last 30 years in Korea.
Method
Medical records of 3403 patients with traumatic spinal cord injury who admitted to Rehabilitation Center during last 30 years were collected and reviewed retrospectively. Patient's sex, age of onset, cause of injury, level and completeness were investigated through medical records. 3403 patients were divided into 3 groups according to onset on injury(group1:1990~1999, group2:2000~2009, group3:2010~2019). Detailed clinical and neurological evaluation was performed by the International standards for neurological classification of spinal cord injury(ISNCSCI).
Results
77.0% of cases are male. The most frequent level of injury was C4(23.6%), C5(15.7%), and C3(8.6%) during last 5 years(2015-2019). The proportion of 21-30 age group was the highest in group1(35.0%) and group2(24.0%). But the proportion of 51-60 age group was the highest in group3(22.1%). During the last 30 years the mean age at injury has increased from 29.3 to 49.7 years old. Traffic accident was the highest cause of injury in group1(64.4%) and group2(52.1%). But in group3, falling down was the highest(45.0%), followed by traffic accident(42.2%). The complete paraplegia(AIS-A) was decreased from 29.6% to 22.5% and the motor incomplete tetraplegia(AIS-C or D) was increased from 17.6% to 30.9%.
Conclusion
We have outlined the traumatic spinal cord injury patients' epidemiologic data. During last 30 years, the number of traumatic spinal cord injury in elderly has increased. Proportion of falling down has increased and proportion of traffic accident has decreased. Incomplete tetraplegia in older individuals are increased most likely due to low-energy falls and underlying spinal degeneration. This study represents the current updates of various epidemiologic factors to understand the impact on traumatic spinal cord injury. |
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Epidemiologic factors of traumatic spinal cord injury
Trend in group etiology by year of traumatic spinal cord injury (1990-2019)
Trend in age and sex distribution in spinal cord injury (1990-2019)
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