An epidemiological study of 553 cases of cervical spinal cord injury in Tianjin

English Keywords:Cervical spinal cord injury  Cervical spinal cord injury without fracture or/and dislocation  Com?鄄plications  Epidemiology

English Abstract:

  【Abstract】 Objective：To explore the epidemiological characteristics of traumatic cervical spinal cord injury（TCSCI） in Tianjin．Method：553 patients suffered with TCSCI between January 2004 to December 2008 from fourteen hospitals of Tianjin were analyzed retrospectively.Result：553 patients suffered with cervical spinal cord injury（ＣＳＣＩ），which accounted for 61.8% of all 895 cases with spinal cord injury （SCI）.The mean age at injury was 48.02 years old （range，11-90 years old），and 275 cases （49.7%） had age older than 50 years old.Car accidents was the main cause of cases less than 30（52.2%）　and 30-49（43.1%），high fall injury and heavy weight injury were common in patients between thirty and forty-nine years old，while fall injury accounted for 49.1% of TCSCI patients older than 50 years.TCSCI without fracture or/and dislocation was correlated with age（P＜0.05）.The most common segments of TCSCI were C5（40.5%） and C4（29.5%）.Severity of neurological deficits was correlated with age（P＜0.05）.Univariate analysis showed that complications were associated with age（P＜0.05），surgery or not（P＜0.0１）and severity of neurological deficits（P＜0.0１）.Conclusion：Cervical spinal cord injury （CSCI） was more common in spinal cord injury（SCI），and patients wit CSCI were predominantly older，the leading cause of different age group varied，the variety of complications should be considered.