EPIDEMIOLOGY OF SPINAL-CORD INJURIES - A REFLECTION OF CHANGES IN SOUTH-AFRICAN SOCIETY

被引：43

作者：

HART, C ^{[1
]}

WILLIAMS, E ^{[1
]}

机构：

[1] NATALSPRUIT HOSP,TRANSVAAL,SOUTH AFRICA

来源：

PARAPLEGIA | 1994年 / 32卷 / 11期

关键词：

EPIDEMIOLOGY; SPINAL CORD INJURY; SOUTH-AFRICA;

D O I：

10.1038/sc.1994.115

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The records of all patients (492 males and 124 females) admitted into a spinal rehabilitation programme over a period of 6 years were reviewed. Most of the patients were in the age group 20-29 years and trauma accounted for 89% of all spinal cord lesions. Gunshot injuries were the commonest (36%), followed by injuries related to motor vehicle accidents (MVA) (25%), stab wounds (20%) and falls from heights (2.4%). Aetiological patterns changed over the 6 year period covered: gunshot injuries increased markedly and stab wounds decreased in number. The records of a medico-legal laboratory in the same geographic region revealed the same trend. Neurological recovery rates were better in related injuries and gunshot wounds. When compared to similar studies from other countries, our results show a disproportionately high incidence of violent injuries, particularly gunshot wounds, in South African plegic patients. We concluded that the recent sociopolitical changes and especially the general escalation of violence in the country, is reflected in the observed changes in the epidemiology of spinal cord injuries.

引用

页码：709 / 714

页数：6

共 11 条

[1]

Griffin M.R., Opitz J.L., Kurland L.T., Et al., Traumatic spinal cord injury in Minnesota, 1935-1981, Am J Epidemiol, 121, pp. 884-952, (1985)

[2]

Dincer F., Oflazor A., Beyazova M., Et al., Traumatic spinal cord injuries in Turkey, Paraplegia, 30, pp. 641-646, (1992)

[3]

Garcia-Reneses J., Herruzo-Cabrera R., Martinez-Moreno M., Epidemiology study of spinal cord injury in Spain 1984-1985, Paraplegia, 29, pp. 180-190, (1991)

[4]

Minaire P., Castanier M., Girard R., Et al., Epidemiology of spinal cord injury in the Rhone-Alpes region, France 1970-1975, Paraplegia, 16, pp. 76-78, (1978)

[5]

Iwegbu C.G., Traumatic paraplegia in Zaire, Nigeria: The case for a centre for injuries of the spine, Paraplegia, 21, pp. 81-85, (1983)

[6]

Shrosbree R.D., Spinal cord injuries as a result of motorcycle accidents, Paraplegia, 16, pp. 102-112, (1978)

[7]

Murray P.K., Kusior M.F., Epidemiology of nontraumatic and traumatic spinal cord injury, Arch Phys Med Rehabil, 65, (1984)

[8]

Frankel H.L., Hancock D.O., Hyslop G et al (1969-1970) Value of postural reduction in initial management of closed injuries of the spine with paraplegia and tetraplegia: Part I, Paraplegia, 7, pp. 179-192

[9]

Eagle G., Violence in South Africa: On the increase in the 1990s, Criical Health, 41, pp. 6-7, (1992)

[10]

Weingarten S.I., Graham P.M., Targeting teenagers in a spinal cord injury prevention program, Paraplegia, 29, pp. 65-69, (1991)

← 1 2 →