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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(3):349-354.
Deep Venous Thrombosis and Heterotopic Ossification in the Patients with Traumatic Spinal Cord Injury.
Rah, Ueon Woo , Kim, Hwa Sook , Moon, Hae Won , Lee, Il Young , Eom, Jae Ho , Lee, Jong Bin
Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Korea. horanggirl@naver.com
외상성 척수손상 환자의 심부정맥 혈전증과 이소성 골화증
나은우, 김화숙, 문혜원, 이일영, 엄재호, 이종빈
아주대학교 의과대학 재활의학교실
Abstract
Objective
To investigate the incidence, time of onset, and risk factors of deep vein thrombosis asssociated with heterotopic ossification in patients with spinal cord injury.


Method
The medical records of 201 patients with spinal cord injury were reviewed. Duplex ultrasound and/or venography were used for the diagnosis of deep vein thrombosis and 3 phase bone scan and/or plain radiologic studies were used for the diagnosis of heterotopic ossification.


Results
Whereas the incidence of heterotopic ossification and deep vein thrombosis in this population were 10.0% and 4.5%, respectively, 55.5% of the individuals with deep vein thrombosis developed heterotopic ossification. The overall incidence of coexistence of deep vein thrombosis and heterotopic ossification was 2.5%. The significant difference between the occurrence of heterotopic ossification and deep vein thrombosis in this SCI population reached statistical significance (Fisher's exact test p<0.005).


Conclusion
The results of this study suggest that there exists an association between the occurrence of deep vein thrombosis and heterotopic ossification following SCI. (J Korean Acad Rehab Med 2003; 27: 349-354)

Key Words: Heterotopic ossification, Deep venous thrombosis, Spinal cord injury


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