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

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

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2018.1455018 · Published: January 1, 2019

Spinal Cord InjuryTraumaPublic Health

Simple Explanation

This study looks at the patterns of thoracolumbar fractures (TLF) in a major hospital in Tianjin, China, over a decade. TLF is a common spinal injury, especially in the area between the chest and lower back. The research examined who gets these fractures, what causes them, and the types of injuries that occur. They looked at factors like age, gender, job, and how the injury happened. Understanding these patterns can help in preventing these injuries. The study found that falls were a major cause, especially in older people, and that the number of cases increased over the study period.

Study Duration
10 Years
Participants
132 inpatient patients with TLF from T11-L2 level
Evidence Level
Level 3: Hospital-based retrospective study

Key Findings

  • 1
    The incidence rate of thoracolumbar fractures increased annually in Tianjin Medical University General Hospital (TMUGH) during the study period.
  • 2
    Males were more likely to experience TLF than females.
  • 3
    The average age of patients with TLF increased between 2011-2015, with retirees representing the largest proportion of patients. Compression fractures were the most common type.

Research Summary

The study aimed to describe the epidemiological profile of thoracolumbar fractures (TLF) in Tianjin, China, from 2006 to 2015, based on data from a major hospital. The results showed an increasing incidence of TLF, with falls being the leading cause, especially among older adults. The study also found that compression fractures were the most common type of TLF. The authors suggest that the findings can inform the government, Centers for Disease Control, and transport agencies in developing effective regulations and actions to prevent TLF.

Practical Implications

Targeted Prevention Programs

Develop and implement targeted prevention programs for elderly individuals to reduce the risk of falls and subsequent thoracolumbar fractures.

Public Health Initiatives

Launch public health initiatives to raise awareness about the risk factors for TLF, such as osteoporosis, and promote strategies for prevention.

Traffic Safety Measures

Reinforce traffic safety measures and promote the use of seatbelts to reduce the incidence of TLF resulting from motor vehicle collisions.

Study Limitations

  • 1
    Single-center-based retrospective study
  • 2
    Patients’ records from outpatient department were miss.
  • 3
    Patients younger than 15 were excluded

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