尚未对高级人群中的创伤性脊柱骨折(TSF)进行彻底审查,特别是关于跨性别的变化,年龄组,季节性时期,和致病因素。这项回顾性分析旨在剖析老年人TSFs的患病率和特征的差异,考虑性别,年龄,季节性时机,和因果关系。对1415例患者的医疗及影像记录进行回顾性分析,所有60岁或以上的人,他们从2013年到2019年被诊断出患有TSF。这项研究按性别对数据进行了分类,年龄组(60-70、70-80和80岁或以上),季节,以及受伤的原因,包括道路交通事故(RTC),从低空坠落(LHF),从高空坠落(HHF),以及在日常活动和农业劳动期间遭受的伤害(DFI)。男性患者表现出明显较高的RTC发生率,高空坠落(HHFs),户外事件,伤后昏迷,下肢骨折(LLF),骨盆骨折(PFs),肋骨骨折(RFs),胸内损伤(ITIs),腹内损伤(IAIs),颈椎骨折,脊髓损伤(SCI)。随着年龄的增长,RTC的发生率明显下降,HHFs,户外事件,RFs,颅脑损伤(CCIs),ITIs,颈椎骨折,和SCIs,而DFI的发生率,室内事故,胸腰椎(T+L)骨折明显增加。在秋天,LLF事件显著减少,而在冬季,胸部骨折有所增加。春季与腰椎骨折和非连续脊柱骨折(NSF)的发生频率较高有关。在年龄分布上观察到显著的差异,伤害情况,相关伤害,高能冲击(RTC和HHFs)和低能创伤(LHFs和DFI)之间的SCIs。在老年人群中,TSF表现出基于性别的明显区别,年龄,季节性变化,和病因因素,影响伤害的性质和情况,相关的创伤,并发症,骨折部位,以及SCI的发生。
The exploration of traumatic spinal fractures (TSFs) within the senior demographic has not been thoroughly scrutinized, particularly with respect to variations across genders, age groups, seasonal periods, and causative factors. This retrospective analysis aimed to dissect differences in the prevalence and characteristics of TSFs among the elderly, factoring in gender, age, seasonal timing, and causation. A retrospective analysis was conducted on the medical and imaging records of 1,415 patients, all aged 60 years or older, who were diagnosed with TSFs from 2013 to 2019. This study categorized the data by gender, age groups (60-70, 70-80, and 80 years or older), seasons, and the
cause of injuries, including road traffic crashes (RTCs), falls from low heights (LHF), falls from high heights (HHF), and injuries incurred during everyday activities and agricultural labor (DFI). Male patients exhibited notably higher incidences of RTCs, high-height falls (HHFs), outdoor incidents, comas post-injury, fractures of the lower limbs (LLFs), pelvic fractures (PFs), rib fractures (RFs), intra-thoracic injuries (ITIs), intra-abdominal injuries (IAIs), cervical fractures, and spinal cord injuries (SCIs). With advancing age, there was a marked decline in occurrences of RTCs, HHFs, outdoor incidents, RFs, craniocerebral injuries (CCIs), ITIs, cervical fractures, and SCIs, while the incidences of DFIs, indoor incidents, and thoracic and lumbar (T + L) fractures notably increased. During autumn, LLF occurrences were significantly reduced, whereas the winter season saw an increase in thoracic fractures. Spring time was associated with a higher frequency of lumbar fractures and noncontiguous spinal fractures (NSFs). Significant distinctions were observed in the age distribution, injury circumstances, associated injuries, and SCIs between high-energy impacts (RTCs and HHFs) and low-energy traumas (LHFs and DFIs). In the elderly demographic, TSFs exhibited discernible distinctions based on gender, age, seasonal variations, and etiological factors, impacting the nature and circumstances of injuries, associated traumas, complications, fracture sites, and the occurrence of SCIs.