老年脊柱骨折的流行病学特征分析  

Epidemiological features of spinal fractures in elderly patients

作　　者：李石伦 鞠林林 陈伟[1] 刘磊[1] 刘勃[1] 杨光[1] 姬晨妮 刘涛[1] 于沂阳 张英泽[1] 

机构地区：[1]河北医科大学第三医院创伤急救中心河北省骨科研究所河北省骨科生物力学重点实验室,石家庄050051

出　　处：《中华老年骨科与康复电子杂志》2015年第1期50-54,共5页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：国家高技术研究发展计划(863计划)资助项目(2011AA030101)

摘　　要：目的：分析河北医科大学第三医院老年脊柱骨折的流行病学特征。方法收集2008年1月至2012年12月河北医科大学第三医院收治且符合纳入标准的2443例老年脊柱骨折患者的3425个椎体骨折，回顾性分析患者的性别、年龄、损伤节段及骨折分型等资料，总结分析5年间老年脊柱骨折流行病学特征。结果2443例老年脊柱骨折患者共3425个椎体骨折，其中男性942个椎体（27.50%）、女性2483个椎体（72.50%），男女比例为1∶2.64。老年脊柱骨折椎体数60～69岁年龄段所占比例最高（45.31%）。AO分型中A型3092个椎体（90.28%）、B型287个椎体（8.38%）、C型46个椎体（1.34%），各分型男女差异无统计学意义（χ2=3.969，P=0.137）。颈椎骨折共91个椎体（2.66%），51.05节段（31.87%）所占比例最高；胸腰椎骨折共3334个椎体（97.34%），其中胸椎骨折1406个椎体（42.17%），腰椎骨折1928个椎体（57.83%）；53.01节段（30.35%）所占比例最高。对3225个胸腰椎骨折进行Denis分型，其中Ⅰ型2396个椎体（74.29%）、Ⅱ型639个椎体（19.81%）、Ⅲ型125个椎体（3.88%）、Ⅳ型65个椎体（2.02%），各分型男女比例差异无统计学意义（χ2=2.665，P=0.446）。结论老年脊柱骨折患者中女性多于男性；60～69岁年龄段所占比例最高；颈椎骨折中51.05节段所占比例最高，胸腰椎骨折中53.01节段所占比例最高；AO分型中A型所占比例最高，胸腰椎骨折中DenisⅠ型所占比例最高。Objective To investigate the epidemiological features of spine fractures in elderly patients at Third Hospital of Hebei Medical University. Methods 2 443 patients （indicated age range） with 3 425 vertebral fractures treated from 01/01/2008 to 12/31/2012 at third hospital were included in this study. The data of gender, age, fracture site and fracture classification were collected. Results A total of 2 443 patients with 3 425 vertebral fractures treated during study period, including 942 males （27.50%） and 2 483 females （72.50%）, with the male to female ratio of 1：2.64. The fractures predominated in an age group of 60 to 69 years （45.31%）. By AO classification, there were 3,092 cases of type A （90.28%）, 287 type B （8.38%）, and 46 type C （1.34%）, without statistically significant difference in sex ratios （χ2=3.969, P=0.137）. In 91 cervical spine fractures （2.66%）, 51.05 was the most frequent fractured segment （31.87%）. In 3 334 thoracolumbar fractures （97.34%）, there were 1 406 thoracic （42.17%） and 1 928 lumbar （57.83%） fractures. 53.01 （30.35%） was the most common fractured thoracolumbar segment. In 3 2 25 thoracolumbar fractures by Denis-type classification, there were 2 396 cases of TypeⅠ（74.29%）, 639 TypeⅡ（19.81%）, 125 Type Ⅲ （3.88%） and 65 Type Ⅳ （2.02%）, with no statistically significant difference in sex ratios （χ2=2.665, P=0.446）. Conclusion Females were more prone to spine fractures than males, especially when they were getting older. The peak age ranged from 60 to 69 years old. The most frequent fractured segment in cervical fracture was 51.05, and in thoracolumbar fracture was 53.01. By AO classification, the most common spinal fracture type was type A. Denis-typeⅠwas the most common fracture type in thoracolumbar fractures.

关 键 词：老年人 脊柱骨折 流行病学 分型 

分 类 号：R687.3[医药卫生—骨科学]