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Rehabilitation Practice and Science

Translated Title

南台灣慢性脊髓損傷患者之骨折

Abstract

Immobilization following spinal cord injury (SCI) is a condition known to be associated with osteoporosis, which leads to increased risk of fractures. The aim of this study was to survey the incidence of bony fractures and its associated factors among chronic SCI patients in southern Taiwan. We recruited 194 patients, including 153 men and 41 women. Their mean age was 46 years old. The average duration of SCI was 12 years. There were 110 paraplegics (56.7%) and 84 tetraplegics (43.3%). Fractures after SCI were noted in 16 of the 194 patients (8.2%). There were no significant differences in age, sex, duration of SCI, the level and extent of injury (tetraplegia or paraplegia) and ambulatory status between those with a history of fracture and those without a history of fracture. The number of fracture accidents per patient ranged from 1 to 2. The locations of fractures were mostly found in the hip joint (26.3%), femoral shaft (15.8%), and femoral supracondyle (15.8%). The fractures after SCI were mostly noted during transfer (31.6%), traffic accident (21.1%), fall (15.8%), and passive range of motion (PROM) (10.5%). There were 10 patients (62.5%) who received surgical intervention for their fractures and their mean duration of hospitalization was 19.7 days. Only 2 patients had received bone mineral density measurement. We conclude that the issue of bony fractures in chronic SCI patients should be emphasized and more preventive methods should be further developed.

Language

Traditional Chinese

First Page

213

Last Page

219

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