Almigdad Ahmad, Alazaydeh Sattam, Mustafa Mohammad Bani, Alshawish Mu'men, Abdallat Anas Al
Department of Orthopedic Surgery, Royal Rehabilitation Center, King Hussein Medical City, Royal Medical Services, Amman, Jordan.
J Trauma Inj. 2023 Jun;36(2):98-104. doi: 10.20408/jti.2022.0068. Epub 2023 Apr 14.
Spine fractures are a significant cause of long-term disability and socioeconomic burden. The incidence of spine fractures tends to increase with age, decreased bone density, and fall risk. In this study, we evaluated thoracolumbar fractures at a tertiary hospital in Jordan regarding their frequency, etiology, patterns, and treatment modalities.
The clinical and radiological records of 469 patients with thoracolumbar fracturesadmitted to King Hussein Medical City from July 2018 to August 2022 were evaluated regarding patients' age, sex, mechanism of injury, fracture level and pattern, and treatment modalities.
The mean age of patients was 51.24±20.22 years, and men represented 52.7%. Compression injuries accounted for 97.2% of thoracolumbar fractures, and the thoracolumbar junction was the most common fracture location. Falling from the ground level was the most common mechanism and accounted for half of the injuries. Associated neurological injuries were identified in 3.8% of patients and were more common in younger patients. Pathological fractures were found in 12.4% and were more prevalent among elderly patients and women.
Traffic accidents and falling from height were the most common causes of spine fractures in patients younger than 40. However, 70% of spine fractures in women were caused by simple falls, reflecting the high prevalence of osteoporosis among women and the elderly. Therefore, traffic and work safety measures, as well as home safety measures and osteoporosis treatment for the elderly, should be recommended to reduce the risk of spine fractures.
脊柱骨折是导致长期残疾和社会经济负担的重要原因。脊柱骨折的发病率往往随着年龄增长、骨密度降低和跌倒风险增加而上升。在本研究中，我们评估了约旦一家三级医院的胸腰椎骨折情况，包括其发生率、病因、类型和治疗方式。
对2018年7月至2022年8月入住侯赛因国王医疗城的469例胸腰椎骨折患者的临床和放射学记录进行评估，内容包括患者的年龄、性别、损伤机制、骨折部位和类型以及治疗方式。
患者的平均年龄为51.24±20.22岁，男性占52.7%。压缩性损伤占胸腰椎骨折的97.2%，胸腰段交界处是最常见的骨折部位。从地面跌倒为最常见的损伤机制，占损伤总数的一半。3.8%的患者伴有神经损伤，且在年轻患者中更为常见。病理性骨折占12.4%，在老年患者和女性中更为普遍。
交通事故和高处坠落是40岁以下患者脊柱骨折的最常见原因。然而，女性脊柱骨折的70%是由简单跌倒引起的，这反映出女性和老年人中骨质疏松症的高患病率。因此，应建议采取交通和工作安全措施以及家庭安全措施，并对老年人进行骨质疏松症治疗，以降低脊柱骨折的风险。
