ArticleMedicine2018
National incidence of traumatic spinal fractures in China: Data from China National Fracture Study.
Article in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 37 citations in OpenAlex.
- Clinicodemographic features of traumatic thoracolumbar spine fractures presenting to a tertiary care center in Nepal.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Impact of changes in leisure activities on incident disability among older adults: a nationwide cohort study.Journal of global health · 2025Article
- Assessing vertebral bone density changes with phantomless QCT after posterior open reduction and internal fixation.Scientific reports · 2025Article
- How do compression and flexion-compression injuries destabilize the spine? A novelFrontiers in bioengineering and biotechnology · 2025Article
- Optimizing the distal anchorage in stabilization for the traumatic adjacent lumbar vertebra fracture in an adolescent idiopathic scoliosis patient who had posterior spinal fusion: a novel surgical technique.Acta orthopaedica et traumatologica turcica · 2024Article
- The Comparison between Spinal Facet Joint Toothed Plate and Traditional Pedicle Screw-rod on Reduction of Thoracolumbar Fracture.Orthopaedic surgery · 2024Article
- Comparison of 3D-navigation and fluoroscopic guidance in percutaneous pedicle screw placement for traumatic fractures of the thoracolumbar junction.Brain & spine · 2024Article
- Surgical management of thoracolumbar junction fractures: An evidence-based algorithm.World neurosurgery: X · 2023Article
- Finite element study of sagittal fracture location on thoracolumbar fracture treatment.Frontiers in bioengineering and biotechnology · 2023Article
- The Difference of Disease Injury and Postoperative Recovery in the Occupational Characteristics of Thoracolumbar Fracture Patients: A Retrospective Study.Orthopaedic surgery · 2022Article
- Comparison of the Outcomes between AO Type B2 Thoracolumbar Fracture with and without Disc Injury after Posterior Surgery.Orthopaedic surgery · 2022Article
- Artificial Intelligence Accurately Detects Traumatic Thoracolumbar Fractures on Sagittal Radiographs.Medicina (Kaunas, Lithuania) · 2022Article
- Collecting data on fractures: a review of epidemiological studies on orthopaedic traumatology and the Chinese experience in large volume databases.International orthopaedics · 2022Review
- One-Year Clinical Outcomes of Minimal-Invasive Dorsal Percutaneous Fixation of Thoracolumbar Spine Fractures.Medicina (Kaunas, Lithuania) · 2022Article
- Design of Personalized Cervical Fixation Orthosis Based on 3D Printing Technology.Applied bionics and biomechanics · 2022Article
- Incidence and Epidemiology of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations.Neurospine · 2021Article
- Incidence and risk factors predicting deep venous thrombosis of lower extremity following spinal fractures.Scientific reports · 2021Article
- Pattern and Outcomes of Fall Injuries and Associated Factors in Emergency Department at Addis Ababa Burn, Emergency and Trauma Hospital.Open access emergency medicine : OAEM · 2021Article
- Epidemiological investigation of hospitalized patients with traumatic fractures: a cross-sectional study.The Journal of international medical research · 2021Article
- Traumatic fractures in China from 2012 to 2014: a National Survey of 512,187 individuals.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To provide a basis for disease prevention, this article aimed to clarify the incidence and risk factors of traumatic fractures in China.The China National Fracture Study (CNFS) was a retrospective epidemiological study that recruited a nationally representative sample from 8 provinces, 24 urban cities, and 24 rural counties in China using stratified random sampling and the probability proportional to size method. A total of 512,187 individuals were involved in CNFS. Incidence rates for traumatic spinal fractures were estimated from the database of CNFS. The distributions by age and sex; as well as by demographic factors such as ethnic origin, occupation, and geographical region were also analyzed. The potential risk factors for traumatic spinal fractures were also identified, such as gender, age, ethnic origin, education, occupation, cigarette smoking, alcohol drinking, calcium or vitamin D taking, body mass index (BMI), sleep time per day, history of previous fracture, and urbanization. This study is registered with the Chinese Clinical Trial Registry, number ChiCTR-EPR-15005878.Around 168 individuals (92 men and 76 women, mean age 55.36 ± 16.19 years) reported 178 (10 individuals with 2 segments) segments of spinal fractures that had occurred in 2014. The incidence rate for traumatic spinal fractures was 32.80 per 100,000 people. Stratified by occupation, retired and unemployed individuals had the highest incidence rates: 72.45 (42.19-102.71) and 64.08 (36.68-91.48) per 100,000 people. According to education level, illiterate individuals had the highest incidence rate (73.39, 54.00-92.79 per 100,000 population). Among all age groups, fractures of thoracolumbar vertebra (T11-L2) were the most common for both sexes, followed by fractures of lumbar vertebra (L3-L5). Four independent risk factors for traumatic spinal fractures were found, including aging, alcohol drinking, sleeping <7 hours per day, and having a previous fracture history.The current study provides detailed information about the national incidence of traumatic spinal fractures, distribution, and risk factors. Aging, alcohol drinking, sleeping <7 hours per day, and having a previous fracture history were the independent risk factors for traumatic spinal fractures in China.
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