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ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Increased incidence of traumatic spinal injury in patients aged 65 years and older in the Netherlands.

C Bruggink, C L P van de Ree, J van Ditshuizen, H A Polinder-Bos, F C Oner, M Reijman, J P H J Rutges

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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Early surgical stabilization reduces perioperative complications in older adults with thoracolumbar fractures from high-energy trauma: a propensity score-matched analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Article
  4. Article
  5. [Disease burden of spinal fractures in China from 1990 to 2021 and temporal trends: A comparative analysis based on the Global Burden of Disease Study 2021].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

C BrugginkDepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Centre Rotterdam, Room NC-414, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
C L P van de ReeDepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Centre Rotterdam, Room NC-414, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
J van DitshuizenTrauma Research Unit Department of Surgery, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
H A Polinder-BosDepartment of Internal Medicine, Sector of Geriatric Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands.
F C OnerDepartment of Orthopaedic Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
M ReijmanDepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Centre Rotterdam, Room NC-414, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
J P H J RutgesDepartment of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Centre Rotterdam, Room NC-414, PO Box 2040, 3000 CA, Rotterdam, The Netherlands. j.rutges@erasmusmc.nl.ORCID http://orcid.org/0000-0002-9452-415X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe global population is ageing rapidly. As a result, an increasing number of older patients with traumatic spine injuries are seen in hospitals worldwide. However, it is unknown how the incidence of traumatic spinal injury has developed over the past decade. Therefore, this study aimed to determine the incidence and characteristics of traumatic spinal injury in patients aged under and above 65 years.

methodsDuring three time periods: 2009-2010, 2014-2015 and 2019-2020, all adult patients with traumatic spinal injury in the Netherlands were identified from the Dutch National Trauma Registry. Patient-related characteristics and 1-year mortality were collected from a subgroup of patients treated at a level-1 trauma centre, and patients aged ≥ 65 years were compared to patients aged < 65 years.

resultsIn the Dutch National Trauma Registry 25,737 patients with traumatic spinal injury were identified. The incidence of spine injury in patients > 65 years was 49.5/100,000/yr in 2009-2010, 68.8 in 2014-2015 and 65.9 in 2019-2020. The percentage of patients ≥ 65 years increased from 37% in 2009-2010, to 43% in 2014-2015, and to 47% in 2019-2020. In the subgroup of 1054 patients treated in a level-1 trauma centre, a similar increasing incidence was seen in patients aged ≥ 65 years. In these patients low energy falls were the most common trauma mechanism and the cervical spine was the most commonly injured region. Moreover, patients ≥ 65 years had significantly higher 1-year mortality compared with patients aged < 65 years, 22.7% versus 9.2%.

conclusionThe incidence of traumatic spinal injury in older patients in the Netherlands has increased over the last 12 years. Almost half of the patients with traumatic spinal injury are currently aged ≥ 65 years. The increasing incidence and the high 1-year mortality highlight the need to modify existing treatment protocols for these patients.

Indexed as

RegistriesSpinal InjuriesAdultAgedAged, 80 and overFemaleHumansIncidenceMaleMiddle AgedNetherlandsAgeingSpineTrauma

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.