Thoracolumbar spine fracture patterns, etiologies, and treatment modalities in Jordan
Purpose 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 f...
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| Language: | English |
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Korean Society of Traumatology
2023-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0068.pdf |
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| author | Ahmad Almigdad Sattam Alazaydeh Mohammad Bani Mustafa Mu'men Alshawish Anas Al Abdallat |
| author_facet | Ahmad Almigdad Sattam Alazaydeh Mohammad Bani Mustafa Mu'men Alshawish Anas Al Abdallat |
| author_sort | Ahmad Almigdad |
| collection | DOAJ |
| description | Purpose 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. Methods 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. Results 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. Conclusions 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. |
| format | Article |
| id | doaj-art-cb1439c2638841d4b7b7e87c97cd6ac0 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-cb1439c2638841d4b7b7e87c97cd6ac02025-01-16T05:39:48ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-06-013629810410.20408/jti.2022.00681246Thoracolumbar spine fracture patterns, etiologies, and treatment modalities in JordanAhmad Almigdad0Sattam Alazaydeh1Mohammad Bani Mustafa2Mu'men Alshawish3Anas Al Abdallat4 Department of Orthopedic Surgery, Royal Rehabilitation Center, King Hussein Medical City, Royal Medical Services, Amman, Jordan Department of Orthopedic Surgery, Royal Rehabilitation Center, King Hussein Medical City, Royal Medical Services, Amman, Jordan Department of Orthopedic Surgery, Royal Rehabilitation Center, King Hussein Medical City, Royal Medical Services, Amman, Jordan Department of Orthopedic Surgery, Royal Rehabilitation Center, King Hussein Medical City, Royal Medical Services, Amman, Jordan Department of Orthopedic Surgery, Royal Rehabilitation Center, King Hussein Medical City, Royal Medical Services, Amman, JordanPurpose 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. Methods 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. Results 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. Conclusions 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.http://jtraumainj.org/upload/pdf/jti-2022-0068.pdffracturesjordanthoracolumbar junctionspine |
| spellingShingle | Ahmad Almigdad Sattam Alazaydeh Mohammad Bani Mustafa Mu'men Alshawish Anas Al Abdallat Thoracolumbar spine fracture patterns, etiologies, and treatment modalities in Jordan Journal of Trauma and Injury fractures jordan thoracolumbar junction spine |
| title | Thoracolumbar spine fracture patterns, etiologies, and treatment modalities in Jordan |
| title_full | Thoracolumbar spine fracture patterns, etiologies, and treatment modalities in Jordan |
| title_fullStr | Thoracolumbar spine fracture patterns, etiologies, and treatment modalities in Jordan |
| title_full_unstemmed | Thoracolumbar spine fracture patterns, etiologies, and treatment modalities in Jordan |
| title_short | Thoracolumbar spine fracture patterns, etiologies, and treatment modalities in Jordan |
| title_sort | thoracolumbar spine fracture patterns etiologies and treatment modalities in jordan |
| topic | fractures jordan thoracolumbar junction spine |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0068.pdf |
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