Kiwerski J, Bronarski J, Ftieis S Z, Quammoh S M
Kliniki Rehabilitacji AM, Warszawie-Konstancin.
Pol Tyg Lek. 1991;46(30-31):540-3.
3235 patients admitted to the hospital within 1965-1988 early after trauma to the spine, were treated. Using the case histories of these patients, the most frequent causes of lesions to the spine are delineated. Young persons are most frequently subjects to the trauma (66% up to 40 years of age) in urban regions. The most frequent causes of such a trauma include: road accidents, jumps to the water, suicidal jumps, fall from the steps, ladder, roofs etc. People in middle and advanced age are most frequently subjects to the trauma in rural regions. The most frequent causes of such a trauma include: falls from the horse-carriages, ladder, trees, roofs, and motorcycle accidents. Functional results of the treatment were also analysed. The authors consider these results favourable as the majority of victims admitted to the hospital had symptoms of the paralysis. Walking ability was restored in 59% of the treated patients. No significant difference in the functional results of therapy was noted in both patients from urban and rural regions. Objective difference is, however, significant, depending on the degree of lesions to the spinal cord seen at the admission to the hospital.
1965年至1988年期间,对3235例脊柱创伤后早期入院的患者进行了治疗。通过这些患者的病历,明确了脊柱损伤最常见的原因。在城市地区,年轻人最常遭受创伤(66%为40岁以下)。此类创伤最常见的原因包括:道路交通事故、跳入水中、自杀性跳楼、从台阶、梯子、屋顶等跌落。中老年人在农村地区最常遭受创伤。此类创伤最常见的原因包括:从马车、梯子、树上、屋顶跌落以及摩托车事故。还分析了治疗的功能结果。作者认为这些结果是令人满意的,因为大多数入院患者有瘫痪症状。59%的接受治疗的患者恢复了行走能力。城市和农村地区患者的治疗功能结果没有显著差异。然而,根据入院时脊髓损伤的程度,客观差异是显著的。