국내 초.중.고등학생들의 척추질환 진료경향 분석

Analysis of Clinical Tendency of Spinal Disorder in Primary, Middle and High School Students in Korea

  • 김민정 (대전대학교 부속한방병원 척추관절센터) ;
  • 손창규 (대전대학교 부속한방병원 간장면역센터) ;
  • 허동석 (대전대학교 부속한방병원 척추관절센터) ;
  • 홍권의 (대전대학교 부속한방병원 척추관절센터)
  • Kim, Min-Jung (Spine and Joint Center of Daejeon University Oriental Hospital) ;
  • Son, Chang-Gue (Liver and Immunology Center of Daejeon University Oriental Hospital) ;
  • Heo, Dong-Seok (Spine and Joint Center of Daejeon University Oriental Hospital) ;
  • Hong, Kwon-Eui (Spine and Joint Center of Daejeon University Oriental Hospital)
  • 투고 : 2010.02.19
  • 심사 : 2010.03.19
  • 발행 : 2010.04.20

초록

Objectives : Among young generation, the prevalence of spinal disorders is known to be increasing. This study aimed to analyze the clinical data of spinal disorder in young ages in Korea. Methods : Number of patient, kinds of disorder, and medical cost were analyzed for patients(7~18 years) underwent spinal disorders using computerized database of Health Insurance Review and Assessment Service(HIRAS) from 2004 to 2008. We included dorsopathies as spinal disorder according to Korean Classification of Diseases(KCD) and excluded spinal disorder caused by trauma. We compared the data of traditional Korean medicine treatment with that of western medical care. Results : 4.8% of the children and adolescents had medical treatment with spinal disorder in 2008. The claim number and medical cost for both traditional Korean medicine and western medicine treatment are increasing 1.8 and 1.3 times respectively over 5 years. Total medical spent of western clinic was 2.1 times than those of traditional Korean clinic. The most common spinal disorder was dorsalgia(31.8%) and scoliosis(13.5%) in western clinics while back pain(29.0%) and neck pain(10.8%) in oriental clinic. Conclusions : We first reported the clinical tendency of spinal disorder in Korean children adolescents from 2004 to 2008. This study will support the development of a strategy for traditional Korean medicine-based prevention or treatment of spinal disorders in young generation.

키워드

참고문헌

  1. IA Kapandji. Physiologie Articulaire. Seoul : Youngmun. 2001 ; 3 : 6-19.
  2. Netter FH. The Ciba Collection Medical Illustration. Seoul : Jeongdam. 2000 ; 8 : 7-10.
  3. Kim DK, Kim YH, Kim JH et al. Dong-Eui Pediatrics. Seoul : Jeongdam. 2002 : 97.
  4. Stephen I Esses. Textbook of Spinal Disorder. Seoul : Gunza. 2002 : 42-9, 188-205, 259-80.
  5. El-Metwally A, Mikkelsson M. Genetic and environmental influences on non-specific low back pain in children : a twin study. European Spine Journal. 2008 ; 17 : 502-8. https://doi.org/10.1007/s00586-008-0605-1
  6. Kristensen C, Ommundsen Y. Level of Physical Activity and Low Back Pain in Randomly Selected 15-years-olds in Oslo, Norway-an epidemiology study based on survey. Adv Physiother. 2001 ; 3 : 86-91.
  7. Birgit S, Anders F. Physical Activity and Low Back Pain in Schoolchildren. Eur Spine J. 2008 ; 17 : 373-9. https://doi.org/10.1007/s00586-007-0583-8
  8. Moon JH, Park JS, Kang YS, Bae KJ, Lee HS, Kim SK. A Study on Usage of Classroom Desks and Chairs by Teen agers. J of Korean Acad of Rehab Med. 1998 ; 22 : 711-6.
  9. Marcus M, Gerr F, Monteilh C et al. A prospective study of computer users : II. Postural risk factors for musculo skeletal symptoms and disorders. Am J Ind Med. 2002 ; 41 : 236-49. https://doi.org/10.1002/ajim.10067
  10. Erlynn Mae, Ang Ramos1, Christine A. James 2, Jane Bear-Lehman 3. Children's computer usage : Are they at risk of developing repetitive strain injury. A Journal of Prevention, Assessment and Rehabilitation. 2005 ; 25 : 143-53.
  11. Tsuritani I, Honda R, Noborisaka Y, Ishida M, Ishizaki M, Yamada Y. Impact of obesity on musculo skeletal pain and difficulty of daily movements in Japanese middle-aged women. Maturitas. 2002 ; 42 : 23-30. https://doi.org/10.1016/S0378-5122(02)00025-7
  12. Ehrmann F, Shrier I, Rossignol M. Risk Factors for the Development of Neck and Upper Limb Pain in Adolescents. Spine. 2002 ; 27 : 523-8. https://doi.org/10.1097/00007632-200203010-00013
  13. Derriennic F, Cassou B, Monfort C, Touranchet A. Age, work and spinal pain. Rev Epidemiol Sante Publique. 1997 ; 45(5) : 407-16.
  14. Lotters F, Burdorf A. Prognostic factors for duration of sickness absence due to musculoskeletal disorders. Clin J Pain. 2006 Feb ; 22(2) : 212-21. https://doi.org/10.1097/01.ajp.0000154047.30155.72
  15. Jeffries LJ, Milanese SF, Grimmer-Somers KA. Epidemiology of adolescent spinal pain. A systematic overview of the research literature. Spine 2007 ; 32 : 2630-7. https://doi.org/10.1097/BRS.0b013e318158d70b
  16. Burton A, Clarke R. The Natural History of Low Back Pain in Adole scents. Spine. 1996 ; 21 : 2323-8. https://doi.org/10.1097/00007632-199610150-00004
  17. Leboeuf Yde, Charlotte DC, Kyvik Kirsten. What age does low back pain become a common problem. Spine. 1998 ; 23(2) : 228-34. https://doi.org/10.1097/00007632-199801150-00015
  18. Yoo JS, Suh SW, Jung BJ et al. AsymmetricExercise and Scoliosis : A Study on Volleyball Athletes. J of Korean Orthop Assoc. 2001 ; 36 : 455-60.
  19. Choi JI. Effects of Living and Exercise Habits on scoliosis of Middle School Girls in Their Growing Stage. J of Physical Growth and Motor Development. 2004 ; 12(4) : 135-46.
  20. Lee CK, Koo KH, An JH. The Classification of Idiopahic Scoliosis. J of Kore an Spine Surg. 2007 ; 14(1) : 57-66. https://doi.org/10.4184/jkss.2007.14.1.57
  21. Park HJ, Lee DH, Lee SY. Comparison of Adolescents with Adults in Lumbar HNP. J of Korean Spine Surg. 2000 ; 7(4) : 618-24.
  22. Robert Maigne. Diagnosis and Treatment of Pain of Vertebral Origin. Seoul : Gunza. 2008 : 3-10, 269-370.
  23. Heaney S, Abrams B et al. Peak Bone Mass. Osteoporos Int. 2000 ; 11 : 985-1009.
  24. Soucacos PN, Zacharis K, Soultanis K, Gelalis J, Xenakis T, Beris AE. Risk Factors for Idiopathic Scoliosis : Review of a 6-year prospective study. Ortho pedics. 2000 ; 23 : 833-8.
  25. Suh SW, Lee SH, Hur CY, Yoo JC, Kong CS, Wang JH. Idiopathic Scoliosis in Korean Middle School Students : Prevalence Study. J Korean Orthop Assoc. 2001 ; 36 : 33-7.
  26. Dang L, Liu Z. A review of current treatment for lumbar disc herniation in children and adolescents. Eur Spine J. 2009 ; 5 : Published online.
  27. JY Lee, RI Ernestus, R Schroder, N Klug. Histological Study of Lumbar Intervertebral Disc Herniation in Adolescents. Acta Neurochirurgica. 2000 ; 10 : 1107-10.