Analysis of risk factors for noncontiguous spinal fractures in the elderly
- VernacularTitle:老年人发生不连续性脊柱骨折的危险因素分析
- Author:
Shi-lei TANG
1
;
Hong-wen GU
;
Yin HU
;
Kang-en HAN
;
Hai-long YU
;
Zhi-hao ZHANG
;
Hong-wei WANG
Author Information
- Publication Type:Journal Article
- Keywords: risk factor; spinal fracture; elderly; noncontiguous spinal fractures
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(2):130-133
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the risk factors for noncontiguous spinal fractures(NSFs)in the elderly.Methods The clinical data of 614 elderly patients with spinal fracture from January 2013 to December 2019 were analyzed retrospectively.Patients were divided into the NSFs group and the Non-NSFs group according to whether NSFs occurred or not.Univariate analysis and multivariate Logistic regression analysis were used to screen the risk factors of NSFs.Results Univariate analysis showed that female(P=0.003),high-energy violent injury(P=0.032),osteoporosis(P=0.004),fracture in spring(P=0.020),and previous spinal fracture history(P<0.001)were associated with the occurrence of NSFs.Multivariate Logistic regression analysis showed that fracture in spring(P=0.024),previous spinal fracture history(P<0.001)and high-energy violent injury(P=0.038)were the independent risk factors for the occurrence of NSFs in the elderly.Conclusion High-energy violent injury,fracture in spring and previous spinal fracture history are the independent risk factors for the occurrence of NSFs in the elderly.Therefore,elderly patients with the above risk factors should be examined more carefully and comprehensively to avoid missed diagnosis and delayed diagnosis.In order to reduce the incidence of this disease,corresponding measures should be taken according to the preventable risk factors.
