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KMID : 1140920220460050248
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Annals of Rehabilitation Medicine
2022 Volume.46 No. 5 p.248 ~ p.255
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Characteristics of Pediatric Spinal Cord Injury in South Korea: A Single-Centered Study
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Kim Woo-Yeung
Lee Bum-Suk
Kim On-Yoo
Yun Hye-Yeung
Han So-Ra
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Abstract
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Objective: To determine the characteristics of pediatric spinal cord injury (SCI) in South Korea from 1990 to 2019.
Methods: This single-centered retrospective study included pediatric SCIs. Individuals were divided into the following five groups according to onset age: ≤5, 6?12, 13?14, 15?17, and 18?19 years. The severity of complete injury was graded according to the American Spinal Injury Association impairment scale A (AIS A). Incomplete injury was graded according to AIS B, C, and D. Pearson chi-square test was used for statistical analysis.
Results: Of the 267 individuals included, 216 (80.9%) had traumatic SCIs (male-to-female ratio of 3.2:1), and 51 (19.1%) had non-traumatic SCIs (male-to-female ratio of 0.7:1). In the traumatic SCI group, 192 (88.9%) individuals were ≥15 years at the time of injury (males, 78.6%). The most common etiologies of traumatic SCIs, ranging from most to least common, were accidents related to motorcycles, falls, cars, and diving. In the non-traumatic SCI group, inflammatory (33.3%) and neoplastic (25.5%) etiologies were found to be the most common ones.
Conclusion: We found that traumatic SCIs incidence in the pediatric population was high, particularly in male individuals aged 15?19 years. The non-traumatic SCIs mostly cause paraplegia and incomplete injury. Therefore, it can be used as a basic data for the evaluation, treatment and prevention strategy of pediatric patients with SCI.
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KEYWORD
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Spinal cord, Epidemiology, Spinal cord injuries, Pediatrics, Spinal cord diseases
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