Epidemiological analysis of 956 inpatients with traumatic spinal cord injury from 2012 to 2019

English Keywords:Spinal cord injury  Traumatic  Epidemiology  Investigation

English Abstract:

  【Abstract】 Objectives: Analyze the epidemiological characteristics and trend of changes in inpatients with traumatic spinal cord injury in our hospital. Methods: A retrospective study of the clinical data of 956 patients with TSCI admitted to our hospital from January 2012 to December 2019 was carried out. The patients were divided into four groups according to the date of admission(patients admitted every two years were enrolled as one group), and the number of patients in each group and relevant information of gender, age, causes, locations and degrees of injuries were recorded, and the changes were analyzed. Results: Among the 956 patients, 670 were males(70.1%) and 286 were females(29.9%), with an average age of 49.87±20.74 years(11-84). The common causes of injuries were fall injuries(54.3%), traffic accidents(37.2%), heavy object injuries(3.4%), and injuries caused by other causes(3.5%). C1-C4 cervical spinal cord injury accounted 25.5%, C5-C8 27.4%, thoracic spinal cord injury 31.5%, and lumbosacral spinal cord injury 15.6%. According to the ASIA classification: 415 cases(43.5%) were of grade A, 120 cases were of grade B(12.5%), 220 cases were of grade C(23.0%), and 201 cases were of grade D(21.0%). 154 cases were complete quadriplegia, 352 cases were Incomplete quadriplegia, 261 cases were complete paraplegia, and 189 cases were incomplete paraplegia. There were 267 cases(27.9%) from the year 2012 to 2013, 235 cases(24.6%) from 2014 to 2015, 229 cases(23.9%) from 2016 to 2017, and 225 cases(23.5) from 2018 to 2019. TSCI caused by fall injuries gradually increased(from 47.1% to 64.9%), and the average age was gradually increased(from 45.70 years to 55.64 years); TSCI caused by traffic accidents gradually decreased(from 45.3% to 22.6%). Conclusions: There were significantly more men with TSCI than women; the most common injury site was the cervical spinal cord. The most common cause of injury was fall injury, and its proportion and the average age of the patients were gradually increasing year by year; the second common cause was traffic accident injury, and the proportion was gradually decreasing.