Yonsei Med J.  2013 Sep;54(5):1098-1103. 10.3349/ymj.2013.54.5.1098.

Prevalence and Geographic Distribution of Herniated Intervertebral Disc in Korean 19-Year-Old Male from 2008 to 2009: A Study Based on Korean Conscription: National and Geographic Prevalence of Herniated Intervertebral Disc in Korean 19YO Male

Affiliations
  • 1Department of Neurosurgery, Inha University Hospital, College of Medicine, Inha University, Incheon, Korea. nsyoon@gmail.com
  • 2Seoul Regional Military Manpower Administration, Seoul, Korea.
  • 3Department of Neurosurgery, Guro Teun Teun Hospital, Seoul, Korea.

Abstract

PURPOSE
This study was to determine the prevalence of herniated intervertebral disc (HIVD) among Korean 19-year-old male in a large national sample and to compare the prevalence across geographic regions based on the data of conscription.
MATERIALS AND METHODS
We analyzed the conscription data of 615508 cases who were 19-year-old male, given an examination for conscription at nationwide Korean Military Manpower Administration from January 2008 to December 2009. Prevalence was determined by dividing the number of cases by the number of persons enrolled for 2 years. The analyses included of a cross-tabulations and nonparametric chi-square to compare the prevalence according to geographic region, disc severity, and conscription year.
RESULTS
The prevalence of HIVD among 19-year-old male was 0.47%. Seoul had the highest prevalence of HIVD (total HIVD was 0.60%, and severe HIVD was 0.44%). The prevalence of HIVD was lower in Jeollabuk-do and Jeollanam-do (total HIVD was 0.25-0.27%, and severe HIVD was 0.16-0.17%). Annual prevalence of HIVD was slightly decreased in 2009, but geographic distribution annually was not different.
CONCLUSION
In Korean 19-year-old male, the national prevalence of adolescent HIVD was 0.60%, but different geographic distribution was observed. It is quite possible that secondary contributing factor(s) interfere with the different geographic prevalence of HIVD.

Keyword

Herniated intervertebral disc; adolescent; prevalence; conscription

MeSH Terms

Adult
Cross-Sectional Studies
Geography
Humans
Intervertebral Disc Displacement/*epidemiology
Male
Prevalence
Republic of Korea/epidemiology

Figure

  • Fig. 1 The geographic illustration of the jurisdiction of regional Military Manpower Administration in the Republic of Korea. SU, Seoul; GGB, Northern Gyeonggi-do; GGN, Southern Gyeonggi-do; KWD, Kangwon-do; CCB, Chungcheongbuk-do; CCN, Chungcheongnam-do; GSB, Gyeongsangbuk-do; GSN, Gyeongsangnam-do; JLB, Jeollabuk-do; JLN, Jeollanam-do; BS, Busan; JJD, Jeju-do.

  • Fig. 2 National and geographic prevalence of total HIVD and severe HIVD among Korean 19-year-old males. SU, Seoul; GGB, Northern Gyeonggi-do; GGN, Southern Gyeonggi-do; KWD, Kangwon-do; CCB, Chungcheongbuk-do; CCN, Chungcheongnam-do; GSB, Gyeongsangbuk-do; GSN, Gyeongsangnam-do; JLB, Jeollabuk-do; JLN, Jeollanam-do; BS, Busan; JJD, Jeju-do; HIVD, herniated intervertebral disc.


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Gyu Yeul Ji, Chang Hyun Oh, Bongju Moon, Seung Hyun Choi, Dong Ah Shin, Young Sul Yoon, Keung Nyun Kim
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