Background

Traumatic spinal injuries can be life-threatening conditions. Despite numerous epidemiological studies, reports on specific spinal regions affected are lacking.

Hypothesis

We hypothesized that fractures at specific regions, such as the cervical spine (including the axis segment), have been affected to a greater degree. We also hypothesized that advanced age may be a significant contributing factor.

Objective

To longitudinally analyze trend of spine fractures and specific fracture subtypes.

Study design

Longitudinal trend analysis of discharged patient state database.

Patient sample

Discharged patient’s data from 15 years (2003–2017)

Methods

We retrieved pertinent ICD-9 and 10 codes depicting fractures involving the entire spine and specific subtypes. To assess possible association with age, we analyzed the trend of the average age in patients discharged with and without spinal fractures as well as in specific fracture subtypes. Similar analysis was performed for other common fragility fractures. FDA device/drug status: The manuscript submitted does not contain information about medical device(s) or drug(s).

Results

We found that within 15 years, the overall proportion of spinal fractures has increased by 64% (from 0.47 to 0.77% of all discharged patients) with the greatest increase noted in fractures of the cervical spine (123%) and specifically of the second cervical vertebra (84%). Age was found to have increased more in patients with spinal fractures than in the general discharged population. Surprisingly, other non-spinal fractures among patients above 60 remained relatively stable, demonstrating a spine-specific effect.

Conclusions

Our findings confirm a recent increase in all spinal fractures and in the cervical and sacral regions in particular. Advanced age may be an important underlying factor.

中文翻译：

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颈椎和骨骨折的上升趋势是老年人脊柱骨折增加的原因，2003-2017年：对全州人口数据库的分析。

背景

脊柱外伤可能会危及生命。尽管进行了许多流行病学研究，但仍缺乏有关受影响的特定脊柱区域的报道。

假设

我们假设特定区域的骨折（例如颈椎（包括轴节））受到的影响更大。我们还假设高龄可能是一个重要的因素。

目的

纵向分析脊柱骨折的趋势和特定的骨折亚型。

学习规划

出院患者状态数据库的纵向趋势分析。

患者样本

15年（2003-2017）的出院患者数据

方法

我们检索了相关的ICD-9和10个编码，描述了涉及整个脊柱和特定亚型的骨折。为了评估与年龄的可能关联，我们分析了有或没有脊柱骨折以及特定骨折亚型的出院患者的平均年龄趋势。其他常见的脆性骨折也进行了类似的分析。FDA器械/药品状态：提交的手稿不包含有关医疗器械或药物的信息。

结果

我们发现，在15年内，脊柱骨折的总体比例增加了64％（从所有出院患者的0.47增至0.77％），其中颈椎骨折（123％）尤其是第二颈椎骨折的增幅最大椎骨（84％）。发现脊椎骨折患者的年龄增加比一般出院人群的年龄增加更多。令人惊讶的是，在60岁以上的患者中，其他非脊柱骨折保持相对稳定，显示出脊柱特异性效果。

结论

我们的发现证实了最近所有脊柱骨折的增加，特别是在颈椎和ac骨区域。高龄可能是一个重要的潜在因素。