Trends in the Incidence and Etiology of Non-Traumatic Spinal Cord Injury in Korea: A Nationwide Population-Based Study From 2007 to 2020

J Korean Med Sci, 2023 · DOI: 10.3346/jkms.2023.38.e158 · Published: May 8, 2023

Spinal Cord Injury Rehabilitation Public Health

Simple Explanation

This study examines the incidence of non-traumatic spinal cord injury (NTSCI) in Korea from 2007 to 2020 using national health insurance data. The study found that the incidence of NTSCI is increasing, particularly among older adults, with degenerative diseases being the most common cause. The findings suggest a need for preventive strategies and rehabilitation services tailored for the aging population in Korea to minimize disability from NTSCI.

Study Duration

2007 to 2020

Participants

Over 50 million people in Korea

Evidence Level

Not specified

Key Findings

1
The age-adjusted incidence of NTSCI increased from 24.11 per million in 2007 to 39.83 per million in 2020.
2
The highest age-specific incidence and fastest increase were observed in individuals in their 70s and 80s or older.
3
The proportion of paraplegia and cauda equina increased, while tetraplegia decreased from 2007 to 2020; degenerative diseases were the most common etiology.

Research Summary

This study analyzed nationwide data to determine the incidence and characteristics of non-traumatic spinal cord injury (NTSCI) in Korea between 2007 and 2020. The results indicated a significant increase in NTSCI incidence, especially among older adults, with degenerative diseases being the primary cause. The study highlights the need for targeted preventive measures and rehabilitation services to address the rising incidence of NTSCI in Korea's aging population.

Practical Implications

Public Health Planning

The increasing incidence of NTSCI, particularly in older adults, necessitates the development of public health programs focused on prevention and early intervention.

Resource Allocation

Increased demand for rehabilitation services requires strategic allocation of medical resources to effectively manage and treat NTSCI patients.

Clinical Practice Guidelines

Clinical guidelines should be updated to reflect the changing epidemiology of NTSCI, emphasizing degenerative etiologies and tailored treatment approaches.

Study Limitations

1
Further studies are needed to validate the present results.
2
Clinical data, such as patients’ symptoms or severity, were not included.
3
Some patients with non-symptomatic or mildly symptomatic NTSCI who did not visit a hospital or clinic may not be included in these data.

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