2026· Bulletin of Emergency and Trauma· Vol 14, pp. 11 - 19· 0 citations· 36 references
Medicine
TL;DR
Elderly spinal fracture patients, particularly men and those with multiple vertebral fractures, are at an increased risk of spinal cord injury, associated fractures, prolonged hospitalization, and mortality.
Abstract
Objective: This study aimed to determine the epidemiological characteristics of elderly patients hospitalized for spinal fractures at Mousavi Referral Hospital in Zanjan, Iran, from 2021 to 2023. Methods: In this cross-sectional study, medical records of 261 elderly patients hospitalized with vertebral fractures were reviewed. Data on demographic characteristics, injury mechanisms, vertebral involvement, associated injuries, spinal cord damage, and patient outcomes were extracted and analyzed. Results: Of the 261 patients, 138 (52.9%) were men and 123 (47.1%) were women. The mean age was 70.4±8.37 (range: 60-95). Women were significantly older than men (70±11 vs. 67±11, p=0.03). Male patients sustained a significantly higher number of fractured vertebrae than females (p=0.02). The incidence of fractures varied significantly across seasons (p=0.001). The most common fracture site was the thoracolumbar junction (56.2%), and the main cause was falling (58.6%). Spinal cord injuries occurred in 7.3% of patients. The most frequent associated fractures were pelvic (25.9%). The length of hospital stay increased significantly with the presence of associated fractures (p=0.001), spinal cord injuries (p=0.02), and a greater number of fractured vertebrae (p=0.04). Conclusion: Elderly spinal fracture patients, particularly men and those with multiple vertebral fractures, are at an increased risk of spinal cord injury, associated fractures, prolonged hospitalization, and mortality. Falls remain the most frequent cause, and the thoracolumbar junction the most common site. These findings highlighted the need for targeted prevention strategies, cautious clinical management, and early identification of high-risk patients to improve outcomes.
ABSTRACT Objective: To describe the clinical and epidemiological profile of patients diagnosed with spinal fracture treated at a tertiary hospital in Santa Catarina from January to December 2022 and to perform a statistical analysis of the prevalence, distribution, and correlation between spinal fractures and associated injuries, identifying possible risk factors and patterns of association. Methods: Analytical cross-sectional observational study, data were tabulated in the Excel program and exported to the SPSS 20.0 program, the Chi-Square Test or Fisher’s Exact Test was used, and the prevalence ratios (PR) and their respective confidence intervals were presented ( IC95%). A significance level of p ≤ 0.05 was adopted. Result: A predictive value of a higher risk of associated trauma was found in male patients, being 1,590 times greater than in women and regarding the type of trauma, traffic accident (1.41x) was the most prevalent with a significant predictive value (p 0.013). Conclusion: Actively look for associated traumas in male patients and when the trauma mechanism is due to a traffic accident. Level of evidence III; Case-control study.
Edson Acioli Henrique, Leandro Medeiros da Costa· Coluna/Columna· 0 citations
Pathological femoral fractures in children differ from traumatic fractures with respect to age distribution, anatomical location, and injury mechanism and are more likely to occur following low-energy trauma and demonstrate a different age distribution to traumatic fractures.
Tanja Kraus, Clemens Clar, Jürgen Rünk et al.· Journal of Orthopaedics and...· 0 citations
Introduction: Cervical spine injuries are associated with high mortality and long-term disability. Data on factors influencing treatment outcomes and mortality in Bhutan remain limited. This study aimed to identify proportion and the factors associated with mortality among patients with acute cervical spine injury. Methods: Retrospective review of the National Spine Registry (NSR) maintained at Jigme Dorji Wangchuck National Referral Hospital was conducted from January 2023 to December 2025. Adult patients with acute cervical spine injury who completed one year of follow-up were included. Statistical analyses were performed using IBM SPSS Statistics for Windows, Version 26.0. Results: A total of 320 patients with spinal injuries were recorded during the year 2023 to 2025, of which, 24.3% (n=78) patients sustained acute cervical spine injury and 60 patients fulfilled the inclusion criteria. The majority were male (83.3%, n=50), road traffic accidents were the most common mechanism of injury (53.3%, n=32). Complete cord injury (ASIA A) was present in 30%, n=18) of patients. Operative management was performed in (66.7%, n=40) of cases. The overall mortality rate was (18.3%, n=11), with sepsis being the leading cause of death (63.6%). On univariate analysis, neurological status at presentation, presence of neurogenic shock, injury morphology, extent of cord edema, timing of surgery, timing of tracheostomy, and use of incentive spirometry were significantly associated with mortality (p < 0.05). Conclusion:Mortality following acute cervical spine injury remains substantial. Early surgical intervention and timely respiratory support, including intubation and tracheostomy in high-risk patients, may reduce mortality and improve outcomes.
Letho Letho, Ugyen Thinley· Bhutan health journal· 0 citations
BACKGROUND
Japan is one of the most rapidly aging countries in the world, making long-term monitoring of hip fracture trends crucial for health policy. This study aimed to analyze changes in the epidemiology and treatment patterns of hip fractures using nationwide survey data from 1998 to 2023.
METHODS
Annual surveys were conducted from 1998 to 2023, targeting Japanese Orthopaedic Association-certified training facilities and clinics with inpatient facilities affiliated with the Japanese Clinical Orthopaedic Association. We registered femoral neck and trochanteric fractures in patients aged ≥35 years and collected data on age, sex, fracture type, injury circumstances, treatment methods, hospital stay duration, and age-adjusted incidence rates.
RESULTS
The total number of cases increased 3.5-fold, from 35,333 in 1998 to 122,940 in 2023. The mean age rose from 78.7 to 83.3 years, with cases aged ≥90 years showing a 37-fold increase. Age-adjusted incidence rates in women peaked around 2015, declined by 2020, and recently plateaued. In men, marked increases were observed from 2005 to 2015, particularly in those aged ≥80 years, with high levels continuing through 2020-2023, showing age-class-specific stability or slight variations. The femoral neck/trochanteric fracture ratio reversed from 0.78 to 1.10, and femoral neck fractures became predominant after 2020. The operative treatment rate was 94.7% in 2023, with a mean preoperative waiting time of 4.0 days. Indoor injury rates increased from 63.6% to 77.2%, whereas hospital stays decreased by 36.1% from 54.8 to 35.0 days.
CONCLUSIONS
This 26-year continuous survey revealed a marked increase in hip fractures, particularly in the super-elderly population. While healthcare efficiency has improved, further enhancements are necessary to address anticipated future increases. Hip fracture incidence appears to plateau in women while remaining relatively high in men, indicating the need to strengthen primary and secondary prevention strategies for male osteoporosis.
K. Inage, Satoshi Ikeda, K. Iba et al.· Journal of Orthopaedic Scien...· 0 citations
Background: The aging population in Thailand is rapidly increasing, leading to a rise in elderly trauma cases. Understanding the epidemiology, causes, complications, and outcomes of geriatric trauma is crucial for improving care and developing preventive strategies.
Objective: To analyze the epidemiological patterns, causes, complications, and outcomes of elderly trauma patients, and to assess the relationship between the Geriatric Trauma Outcome Score (GT OS) and mortality.
Materials and Methods: This retrospective study included 466 patients aged 60 years and older who were diagnosed with trauma between 2011 and 2021 at Chiang Mai University Hospital. Medical records were retrospectively reviewed, and data were extracted between September 2022 and July 2023. Statistical analyses included descriptive statistics, Fisher’s exact test, Student’s t-test, and univariable and multiple risk regression analyses.
Results: The majority of patients were over 65 years old (77.68%) and male (51.93%). Falls (62.66%) and traffic accidents (24.68%) were the main causes of injury. The mortality rate was 3.43%. Pneumonia (RR 1.54, 95% CI 1.02 to 2.33, p=0.040) and failed or difficult intubation (RR 1.81, 95% CI 1.15 to 2.85, p=0.010) were significant predictors of mortality. GT OS showed good predictive ability for mortality (AUC 0.807, 95% CI 0.73 to 0.88). Factors associated with high GT OS included age >65 years, ISS >15, and blood transfusion.
Conclusion: Falls are the primary cause of injury in elderly patients, with a significant impact on mortality. GT OS is an effective tool for predicting mortality in this population. Prevention strategies need to focus on fall prevention, and care protocols should address the specific needs of elderly trauma patients.
K. Chandacham, Pornsinn Koonsinn, Supaporn Rattanasiri et al.· Journal of the Medical Assoc...· 0 citations
MVFs affected nearly one in six Spanish adults aged ≥40 years, and were independently associated with male sex, older age, and lower hip BMD, and were independently associated with male sex, older age, and lower hip BMD.
C. Gómez-Vaquero, Jordi Fiter Aresté, M. Domínguez-Álvaro et al.· Bone· 0 citations
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