Epidemiology of Spinal Cord Injury: Changes to Its Cause Amid Aging Population, a Single Center Study

Ha Seong Kim; Kil-Byung Lim; Jiyong Kim; Joongmo Kang; Hojin Lee; Sang Wan Lee; Jeehyun Yoo

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자료유형: 학술저널

저자정보: Ha Seong Kim (Department of Physical Medicine and Rehabilitation Inje University Ilsan Paik Hospital Goyang Korea) Kil-Byung Lim (Department of Physical Medicine and Rehabilitation Inje University Ilsan Paik Hospital Goyang Korea) Jiyong Kim (Department of Physical Medicine and Rehabilitation Inje University Ilsan Paik Hospital Goyang Korea) Joongmo Kang (Department of Physical Medicine and Rehabilitation Inje University Ilsan Paik Hospital Goyang Korea) Hojin Lee (Department of Physical Medicine and Rehabilitation Inje University Ilsan Paik Hospital Goyang Korea) Sang Wan Lee (Department of Physical Medicine and Rehabilitation Inje University Ilsan Paik Hospital Goyang Korea) Jeehyun Yoo (Department of Physical Medicine and Rehabilitation Inje University Ilsan Paik Hospital Goyang Korea)

저널정보: 대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제45권 제1호

발행연도: 2021.1

수록면: 7 - 15 (9page)

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Objective To investigate the epidemiologic and demographic characteristics of patients with spinal cord injury (SCI) who were admitted to a department of rehabilitation of a university hospital. Methods This was a descriptive cross-sectional study. Medical records including sex, age at injury, type of disability, traumatic or non-traumatic etiology and presence of ossification of posterior longitudinal ligament (OPLL) of patients with SCI who were admitted to the department of rehabilitation between 2012 and 2018 were reviewed. Results Of the 221 cases of SCI, 161 were traumatic and 60 were non-traumatic. The mean age at injury was 52.8 years. People aged 40?49 years showed highest proportion among overall SCI patients (19.0%). The proportion of male patients was higher in traumatic SCI at 4.96:1 than in non-traumatic SCI at 1.30:1. The most common cause of traumatic SCI was falling off (37.3%), followed by motor vehicle crash (35.4%) and tripping over (19.3%). Meanwhile, the most common cause of non-traumatic SCI was neoplasm (35.0%). Tripping over was the leading cause of traumatic SCI in patients aged ≥60 years (42.6%). A high proportion of traumatic SCI patients were found to have underlying OPLL (26.1%), particularly those who were injured by tripping over (64.5%). Conclusion The mean age of SCI patients was higher than that of previous studies. Falls was the single most common cause of traumatic SCI, and tripping over was the most common cause of injury in the elderly patients. OPLL was prevalent in patients who were injured from tripping over.

#Spinal cord injuries #Epidemiology #Ossification of posterior longitudinal ligament #Accidental falls

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