일부 채용건강진단 대상자의 척추분리증 유병률에 관한 연구 (Prevalence of Spondylolysis in Pre-employment Screening Examination)

서지정보

· 발행기관 : 대한척추신경외과학회
· 수록지 정보 : Neurospine / 6권 / 4호 / 260 ~ 265페이지
· 저자명 : 손준석, 김영욱, 이철호, 채창호, 조병만, 김자현

초록

Objective: In Korea, there appears to be an increase in the diagnosis of lumbar spine disorders recently. This trend has
urged employers to screen new employees for this disorder. One of the methods for the investigation is the radiological
examination of the lumbar spine. We studied the prevalence of spondylolysis according to age and sex with
lumbar X-ray (anterior-posterior view and lateral view) of new employees in pre-employment screening examination.
We also estimated the outbreak period of spondylolysis by analysing the prevalence rates at each age group, which were
the results of our study.
Methods: We gathered the data of lumbar X-ray findings for new employees, who had recieved pre-employment screening
examinations in the department of occupational and environmental medicine of Masan Samsung Hospital Korea
during a period from January 1, 2002 to December 31, 2005. We analyzed the data to obtain the age and sex prevalence
of spondylolysis and spina bifida.
Results: The prevalence of spondylolysis for the pre-employment screening examination was 5.9% (male 6.6%; female
4.3%) in this study. The prevalence of spondylolysis after adjusting age and sex was 9.0%. The prevalence of spondylolysis
was positively correlated with age, and showed to be higher in female than male. Body mass index of spondylolytic
subjects was higher than that of normal. The prevalence of spondylolysis was significantly higher in those with
spina bifida than normal subjects.
Conclusion: The prevalence of spondylolysis of the pre-employment screening examination was 5.9% in this study.
The factors which relates with spondylolysis were age, BMI and the prevalence of spina bifida.

영어초록

Objective: In Korea, there appears to be an increase in the diagnosis of lumbar spine disorders recently. This trend has
urged employers to screen new employees for this disorder. One of the methods for the investigation is the radiological
examination of the lumbar spine. We studied the prevalence of spondylolysis according to age and sex with
lumbar X-ray (anterior-posterior view and lateral view) of new employees in pre-employment screening examination.
We also estimated the outbreak period of spondylolysis by analysing the prevalence rates at each age group, which were
the results of our study.
Methods: We gathered the data of lumbar X-ray findings for new employees, who had recieved pre-employment screening
examinations in the department of occupational and environmental medicine of Masan Samsung Hospital Korea
during a period from January 1, 2002 to December 31, 2005. We analyzed the data to obtain the age and sex prevalence
of spondylolysis and spina bifida.
Results: The prevalence of spondylolysis for the pre-employment screening examination was 5.9% (male 6.6%; female
4.3%) in this study. The prevalence of spondylolysis after adjusting age and sex was 9.0%. The prevalence of spondylolysis
was positively correlated with age, and showed to be higher in female than male. Body mass index of spondylolytic
subjects was higher than that of normal. The prevalence of spondylolysis was significantly higher in those with
spina bifida than normal subjects.
Conclusion: The prevalence of spondylolysis of the pre-employment screening examination was 5.9% in this study.
The factors which relates with spondylolysis were age, BMI and the prevalence of spina bifida.

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