Epidemiological profile of thoracolumbar fracture (TLF) over a period of 10 years in Tianjin, China

Li, Bo; Sun, Chao; Zhao, Chenxi; Yao, Xuemei; Zhang, Yan; Duan, Huiquan; Hao, Junhua; Guo, Xing; Fan, Baoyou; Ning, Guangzhi; Feng, Shiqing

doi:10.1080/10790268.2018.1455018

Cited by 15 publications

(20 citation statements)

References 17 publications

(27 reference statements)

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“…Vertebral fractures in children are usually multiple. 11 Li et al 12 have examined the epidemiology profile of thoracolumbar junction (T11-L2) fractures in the Tianjin region of China between 2006-2015. Totally 132 cases were identified and the incidence rate was 2.4 patients per million population.…”

Section: Regional Differencesmentioning

confidence: 99%

Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

2021

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This review aims to search the epidemiology and incidence rates of thoracolumbar spine fractures. A systematic review of the literature of the last 10 years gave 586 results with “incidence,” and 387 results with “epidemiology,” of which 39 papers were analyzed. The review results were discussed and voted in 2 consensus meetings of the WFNS (World Federation of Neurosurgical Societies) Spine Committee. Out of 39 studies, 15 studies have focused on thoracolumbar trauma, remaining 24 studies have looked at all spine trauma. Most were retrospective in nature; few were prospective and multicenter. Some studies have focused on specific injuries. The annual incidence of TL fractures is about 30/100,000 inhabitants including osteoporotic fractures. There is a trend to increase the fractures in elderly population especially in developed countries, while an increase of motor vehicle accidents in developing countries. The mortality rate among male elderly patients is relatively high. The incidence of thoracolumbar spine fractures is increasing because of low-velocity falls in the elderly population. The main reasons are falls and traffic accidents. Learning the regional differences and some special forms of trauma such as extreme sports, war, and gunshot injuries will help the prevention of the thoracolumbar spine fractures.

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Section: Regional Differencesmentioning

confidence: 99%

Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

2021

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“…According to early data from United States-based studies, the incidence of spinal fracture is approximately 64-117 per 100,000 people per year [10,11]. In Tianjin, China, the incidence of thoracolumbar fracture (TLF) (T11-L2) was 2.4 per million in 2015 and is increasing annually [12].…”

Section: Introductionmentioning

confidence: 99%

Epidemiological characteristics of thoracolumbar fractures from 2014 to 2019 in Shanxi, China

Feng

Kang

et al. 2022

Preprint

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Background: We aimed to clarify the epidemiological characteristics of thoracolumbar fractures (TLFs) at Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, China. Methods: A total of 1,096 patients with TLF between January 2014 and December 2019 were included in this retrospective study. Epidemiological characteristics (year, age, sex, marital status, occupation, injury level, etiology, fracture type, and American Spinal Injury Association ASIA impairment scale [AIS] grade) in medical records were extracted and analyzed.Results: The number of TLF cases increased between 2014 and 2019. More than half of the patients were between 40 and 75 years old. The most common fracture level was L1, with compression as the most common injury type. A total of 137 patients (12.5%) experienced spinal cord injury. The primary cause of fracture was a “low fall”, and farmers were most vulnerable. Epidemiological characteristics (age, year, etiology, fracture type, occupation, and spinal cord injury) were quite different between males and females. In patients with spinal cord injury, the most frequent age group was 46–60 years old. Again, the primary fracture level was L1, and the most common occupation was farmer. However, with this group, the primary fracture type was burst, and the main etiology was “high fall”.Conclusions: The number of patients with TLF increases with social development. The epidemiological profiles between sexes were quite different. Preventions and government regulations should be implemented to reduce the incidence of TLF, according to the epidemiological profiles of men and women.

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“…Osteoporosis (OP) has become a major public health problem in the ageing population. As the thoracolumbar spine is the transitional site of the fixed thoracic (T) spine to active lumbar (L) spine (T11-L2), it is biomechanically vulnerable to injury ( 1 , 2 ). Low-energy injuries, such as falls, can cause compression fractures of the thoracolumbar junction in patients with OP ( 2 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

“…As the thoracolumbar spine is the transitional site of the fixed thoracic (T) spine to active lumbar (L) spine (T11-L2), it is biomechanically vulnerable to injury ( 1 , 2 ). Low-energy injuries, such as falls, can cause compression fractures of the thoracolumbar junction in patients with OP ( 2 , 3 ). For some patients, bed rest is required after a fracture due to surgical contraindications, such as high blood pressure or severe coronary heart disease; however, this may lead to long-term lower back pain and discomfort, kyphosis of the spine and a decline in quality of life ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

“…Low-energy injuries, such as falls, can cause compression fractures of the thoracolumbar junction in patients with OP ( 2 , 3 ). For some patients, bed rest is required after a fracture due to surgical contraindications, such as high blood pressure or severe coronary heart disease; however, this may lead to long-term lower back pain and discomfort, kyphosis of the spine and a decline in quality of life ( 2 ). The medical and economic costs of osteoporotic compression fractures are rapidly increasing ( 4 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

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Stress analysis of the thoracolumbar junction in the process of backward fall: An experimental study and finite element analysis

Sun

Zhang

et al. 2021

Exp Ther Med

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The aim of the present study was to evaluate the biomechanical mechanism of injuries of the thoracolumbar junction by the methods of a backward fall simulation experiment and finite element (FE) analysis (FEA). In the backward fall simulation experiment, one volunteer was selected to obtain the contact force data of the sacrococcygeal region during a fall. Utilizing the fall data, the FEA simulation of the backward fall process was given to the trunk FE model to obtain the stress status of local bone structures of the thoracolumbar junction during the fall process. In the fall simulation test, the sacrococcygeal region of the volunteer landed first; the total impact time was 1.14±0.58 sec, and the impact force was up to 4,056±263 N. The stress of thoracic (T)11 was as high as 42 MPa, that of the posterior margin and the junction of T11 was as high as 70.67 MPa, and that of the inferior articular process and the superior articular process was as high as 128 MPa. The average stress of T12 and the anterior margin of lumbar 1 was 25 MPa, and that of the endplate was as high as 21.7 MPa, which was mostly distributed in the back of the endplate and the surrounding cortex. According to the data obtained from the fall experiment as the loading condition of the FE model, the backward fall process can be simulated to improve the accuracy of FEA results. In the process of backward fall, the front edge of the vertebral body and the root of vertebral arch in the thoracolumbar junction are stress concentration areas, which have a greater risk of injury.

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Epidemiological profile of thoracolumbar fracture (TLF) over a period of 10 years in Tianjin, China

Cited by 15 publications

References 17 publications

Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

Epidemiological characteristics of thoracolumbar fractures from 2014 to 2019 in Shanxi, China

Stress analysis of the thoracolumbar junction in the process of backward fall: An experimental study and finite element analysis

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