서울지역 외상생 척수손상환자의 발생률 추정 및발생관련요언

Abstract

For the purpose of disclosing estimated annua1 incidence rate and causative factorsof traumatic spinal cord injury and obtaining basic data for the establishment ofeffective measures to prevent this injury, the medical record of 204 cases of Seoulresidents with spina1 cord injury which admitted in 46 general hospitals and Nationalrehabilitation center located in Seoul, including Sam Y ook Rehabilitation Center andJung Ang Hospital in Kyungi do and occurred in 1995 were analyzed. The resultswere as follows: 1) The estimated annua1 incidence rate of traumatic spinal cordinjury in 1995 of Seoul residents was 20.5 per million population. This incidence ratewas the highest in the 40th years (34.1), followed by in the 50th years (26.5) and inthe 20th years (25.6) in descending order. 2) The incidence rate ratio between maleand female was 3.5:1. 3) The leading cause of injury was the highest in trafficaccidents (42.2%), followed by falls from elevation (29.4%) and falls on the same level(9.8%). 4) Traffic accident mainly occured from 20th years to 40th years and fallsfrom elevation in 50th years. 5) The level of spinal cord injury was the highest incervical cord (63.2%), followed by the thoracic cord (21.1%) and lumbosacral cord(15.7%). Traffic accidents mainly caused in cervical cord injury whereas thoracic cordinjury and lumbosacral cord injury were caused from falls from elevation. Abovetheconsiderations in mind. it suggested that in order to prevent traumatic spinal cordinjuries, safety education of falls from elevation should be focused on the 20th yearsand 50th years ma1e, moreover safety education of traffic accidents will. be needed inthe 30th years and 40th years ma1e.