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Abstract

Objective: We aimed to present epidemiological and clinical data on spinal cord injury (SCI) patients who were rehabilitated at our hospital to define etiological factors and high risk groups.Methods: Data on 174 SCI patients rehabilitated between January 2009 and October 2014 in our hospital were retrospectively evaluated. Patient age, sex, etiology of injury, injury level (cervical, thoracic, lumbar), total number of rehabilitation sessions, spinal operation status, functional groups according to the American Spinal Injury Association (ASIA) Scale were recorded.Results: In total, 105 of the patients were male and 69 were female. The mean age of patients was 36.61 ± 16.16 years. Traffic accidents were the most common cause of injury (n=45, 25.9%), followed by falls from height (n=39, 22.4%). The most common injury was thoracic spine injury (n=95, 54.6%), followed by lumbar spine injuries (n=48, 27.6%). Traffic accidents were significant mechanism for thoracic spine injuries (p=0.007). Ineffective neurosurgery had a significant relation with lumbar spine injuries (p<0.001).Conclusion: The most of the SCIs we observed were preventable. Comprehensive identification of the epidemiologic, clinic and demographic features of SCIs contributes to define most common etiological factors, high risk groups, thereby making it possible to pay personal and communal attention to precautions for SCIs. J Clin Exp Invest 2015; 6 (2): 140-143

Keywords

• Spinal cord injury, epidemiology, etiology

Spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verileri: Merkezimizin beş yıllık deneyimi

Öz

Amaç: Bu çalışmada, hastanemizde rehabilite edilmiş spinal kord yaralanmalı hastaların epidemiyolojik ve klinik verilerinin sunulması, etiyolojik faktörlerin ve yüksek riskli grupların tanımlanması amaçlandı.

Yöntemler: Ocak 2009 ile Ekim 2014 arasında hastanemizde rehabilitasyon hizmeti almış olan 174 hastanın verileri retrospektif olarak incelendi. Yaş, cinsiyet, yaralanma etiyolojisi, yaralanma seviyesi (servikal, torakal, lomber), toplam uygulanan rehabilitasyon seans sayısı, spinal cerrahi alıp almadığı, American Spinal Injury Association (ASIA) evrelemesine göre fonksiyonel grubu kaydedildi.

Bulgular: Hastaların 105’i erkek, 69’u kadındı. Hastaların ortalama yaşı 36,61 ± 16,16 yıl olarak bulundu. Trafik kazaları en sık yaralanma nedeniydi (n=45, %25,9), bunu yüksekten düşmeler takip ediyordu ( n=39, % 22,4). En sık torakal spinal yaralanmalar gözlendi (n=95, % 54,6). Lomber bölge ikinci sık yaralanma seviyesiydi (n=48, % 27,6). Trafik kazalarına bağlı yaralanmalarda torakal seviye daha sıktı (p=0,007). Başarısız sinir cerrahisi lomber spinal yaralanmalar ile anlamlı derecede ilişkiliydi (p<0,001).

Sonuç: Spinal kord yaralanmalarının büyük çoğunluğu önlenebilir nedenlerden kaynaklanmıştı. Spinal kord yaralanmalarının epidemiyolojik, klinik ve demografik özelliklerinin anlaşılması en sık etiyolojik faktörlerin ve yüksek risk gruplarının belirlenmesi, yaralanmayı önleyici bireysel ve toplumsal önlemlerin alınmasına katkı sağlayacaktır.

Anahtar kelimeler: Spinal kord yaralanması, epidemiyoloji, etiyoloji

Anahtar Kelimeler

• Spinal kord yaralanması, epidemiyoloji, etiyoloji

Kaynakça

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