한국 척수 및 마미 손상 환자의 다기관 공동 역학조사

Study Design: Multi-center study, questionnaire survey. Objectives: To offer a database of spinal cord injury (SCI) by reviewing statistics and literatures of other countries, investigating the overall mechanism, injury patterns and treatment of SCI. Summary of Literature Review: There are no preexisting domestic studies (collectively conducted by multi-centers) of the prevalence and treatment of SCI. Materials and Methods: From September 2006 to August 2009, 47 cases of SCI in 6 universities were investigated retrospectively. 17questionnaire contents including the courses of injury-to-treatment were studied with data gathered from surveys. Results: The average age of patients was 48.4-years-old, male to female ratio was 33 to 14. The cases of falling from a height were 22cases (47%), lumbar area 19 cases (40%), and unstable bursting fracture 24 cases (51%) the most. Complete and incomplete paralyses were 19 cases (40%) and 28 cases (60%), respectively. High dose steroids were injected in 16 cases (NASCIS II) and 9 cases (NASCIS III). 14 cases presented complications and operations were performed 46 cases (98%). 12 cases (26%) arrived at the hospital within 4 hours of injury, 11 cases (23%) in 8 hours. On the way to the hospital, proper emergency treatment was performed in 25 cases (53%), and 30cases (64%) had a clear understanding of SCI after the final diagnosis. Conclusions: This is the first study that offers a comprehensive database of spinal cord injury (SCI), by investigating the overall mechanism, injury patterns, and treatment of SCI; this study is expected to be used in the future as an important reference material for spinal cord injury statistics and a standard for care. Key Words: Spinal cord injury, Multi-center study, Prevalence KCI Citation Count: 2