老年人发生不连续性脊柱骨折的危险因素分析

唐世磊; 顾洪闻; 胡寅; 韩康恩; 于海龙; 张智昊; 王洪伟

doi:10.11659/jjssx.07E024030

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老年人发生不连续性脊柱骨折的危险因素分析

临床研究 | 更新时间：2025-01-21

- 老年人发生不连续性脊柱骨折的危险因素分析
- Analysis of risk factors for noncontiguous spinal fractures in the elderly
- 局解手术学杂志 2025年34卷第2期页码：130-133
- 作者机构：
  
  1.大连医科大学研究生院，辽宁大连 116044
  2.北部战区总医院骨科，辽宁沈阳 110016
- 作者简介：
  
  王洪伟，E-mail：cplawhw@163.com
- 基金信息：
  
  辽宁省科技计划联合计划(2023JH2/101700130)
- DOI：10.11659/jjssx.07E024030
  中图分类号： R687.3
- 纸质出版日期：2025-02-25，
  
  收稿日期：2024-07-06，
- 稿件说明：
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唐世磊, 顾洪闻, 胡寅, 等. 老年人发生不连续性脊柱骨折的危险因素分析[J]. 局解手术学杂志, 2025,34(2):130-133.

TANG SHI-LEI, GU HONG-WEN, HU YIN, et al. Analysis of risk factors for noncontiguous spinal fractures in the elderly. [J]. Journal of regional anatomy and operative surgery, 2025, 34(2): 130-133.
唐世磊, 顾洪闻, 胡寅, 等. 老年人发生不连续性脊柱骨折的危险因素分析[J]. 局解手术学杂志, 2025,34(2):130-133. DOI： 10.11659/jjssx.07E024030.

TANG SHI-LEI, GU HONG-WEN, HU YIN, et al. Analysis of risk factors for noncontiguous spinal fractures in the elderly. [J]. Journal of regional anatomy and operative surgery, 2025, 34(2): 130-133. DOI： 10.11659/jjssx.07E024030.

摘要

目的

探讨老年人发生不连续性脊柱骨折（NSFs）的危险因素。

方法

回顾性分析2013年1月至2019年12月614例老年脊柱骨折患者的临床资料。根据患者是否发生NSFs，将其分为NSFs组和Non-NSFs组。通过单因素分析及多因素

Logistic

回归分析筛选NSFs的危险因素。

结果

单因素分析结果显示，女性(

=0.003)、高能量暴力损伤(

=0.032)、骨质疏松(

=0.004)、春季发生骨折

(

=0.020)、既往脊柱骨折史(

0.001)与NSFs的发生相关。多因素

Logistic

回归分析结果显示，春季发生骨折(

=0.024)、既往脊柱骨折史(

0.001)、高能量暴力损伤(

=0.038)是老年人NSFs发生的独立危险因素。

结论

高能量暴力损伤、春季发生骨折、既往脊柱骨折史是老年人NSFs发生的独立危险因素，因此对具有上述危险因素的老年患者应做更加仔细全面的检查以避免漏诊及延迟诊断。针对可预防危险因素制定相应措施，以减少该病发生率。

Abstract

Objective

To explore the risk factors for noncontiguous spinal fractures （NSFs） in the elderly.

Methods

The clinical data of 614 elderly patients with spinal fracture from January 2013 to December 2019 were analyzed retrospectively. Patients were divided into the NSFs group and the Non-NSFs group according to whether NSFs occurred or not. Univariate analysis and multivariate

Logistic

regression analysis were used to screen the risk factors of NSFs.

Results

Univariate analysis showed that female （

=0.003）， high-energy violent injury （

=0.032）， osteoporosis （

=0.004）， fracture in spring （

=0.020）， and previous spinal fracture history （

0.001） were associated with the occurrence of NSFs. Multivariate

Logistic

regression analysis showed that fracture in spring （

=0.024）， previous spinal fracture history （

0.001） and high-energy violent injury （

=0.038） were the independent risk factors for the occurrence of NSFs in the elderly.

Conclusion

High-energy violent injury， fracture in spring and previous spinal fracture history are the independent risk factors for the occurrence of NSFs in the elderly. Therefore， elderly patients with the above risk factors should be examined more carefully and comprehensively to avoid missed diagnosis and delayed diagnosis. In order to reduce the incidence of this disease， corresponding measures should be taken according to the preventable risk factors.

关键词

危险因素脊柱骨折老年人不连续性脊柱骨折

Keywords

risk factorspinal fractureelderlynoncontiguous spinal fractures

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