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흉, 요추골절의 통계학적 관찰

Statistical Survey of Fracture in Thoraco-Lumbar Spine

최신의학 1970년 13권 11호 p.81 ~ 89
김인, 이승찬,
소속 상세정보
김인 (  ) - 가톨릭의과대학 정형외과학교실
이승찬 (  ) - 가톨릭의과대학 정형외과학교실

Abstract


The incidences of fractured spine have been comparatively low in this country and are rated approximately 1 % of the total fracture incidences according a statistical report of the Ministry of Health and Social Welfare. However, the rate of spine fracture tends to increase year by year as the rate of traffic accidents and industrial accidents were increased. We have treated 342 cases of thoracic and lumbar spine fracture cases from Jan. 1964 to August 1969. They are catagorized as follows.
1. Distribution rate of fracture by sex:
Out of 342 fractured cases male were affected by 237 cases (69.3%). and female by 105 cases (30.7%). Ratio between male and female was 2.3: 1.
2. Incidences of fracture by site and ages: The most common site of fractured spine was occurred between 12 th thoracic spine and 2nd lumbar spine (69.0%). Majority cases were affected by among the age group of 20 to 40 year old.
3. The causes of accident:
Traffic accident: 57.9% (198 cases)
Industrial accidents: 24.9% (84 cases)
Domestic accidents: 17.5% (60cases)
4. Types of fracture of the spinal body:
Simple wedge fracture: 72.2% (274 cases)
Compression fracture: 21.4% (73 cases)
Fracture-dislocation: 6.4% (22 cases)
5. The rate of paraplegia following a spinal fracture:
7.5% (22 cases) was paralysed following an accident and the common site of lesion was occurred between D12-L2 (18.8%).
The types of fracture were mostly rotational fracture dislocation of the spine.
6. Among 320 non-paralysed cases returned to their normal life within 4 months without receiving surgical intervention except 4 cases, and all of the 22 paraplegia cases was not recovered from permanent total paraplegia but one.

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