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KMID : 0361619720070020189
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Journal of the Korean Orthopaedic Association
1972 Volume.7 No. 2 p.189 ~ p.203
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Injureies in the Spine
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이승기/Rhee, Seung-Key
김진영/김인/문명상/Kim, Jin-Young/Kim, In/Moon, Myung-Sang
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Abstract
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The spinal injuries were reported by relatively low incidence than other fracture and dislocation in the body. However, the rate of spine injury tend to increase year by year as the rate of traffic accident and industrial accident have been increased.
Authors have experienced 403 cases of various type of injuries from Jan. 1966 to Aug. 1971. They were analysed as follows.
1. Out of 330 patient, males were 212 cases (64.2%) and female 118 (37.8%) Among them 74% of cases were between 20 to 40 years of age. About 51.9% of cases of the spinal injury were caused by traffic road accident.
2. The most most common fracture site in the spinal segments were between 12th thoracic spine and
2nd lumbar spine (69.0%) and most common types of spine injury was simple wedge fracture (70.7%) which is induced by flexion violence.
3. The stable injuries of the spine (69.4% 229 cases) were treated by functional methods such as bed rest, early ambulation. Injured spine were not immobilized in cast. They gave a more functional results than rigidly immobilized group.
4. 27 cases (8.2%) were complicated by paraplegia and mostly (59.3%) were caused by rotational fracture-dislocation. The common site of lesion were between D12-L2 (67.4%.) 5. Among the 185 cases who were followed over 6 months, spontaneous spinal fusion within 6 months
after injury occured in 166 cases (89.7%) 76.8% of them were fused within 4 months.
6. Among the 27 paralysed cases, 3 were died within 2 weeks of admission, and 3 cases had complete recovery without residue.
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