Evidence map›Paper›PMID 41091044›Full record

ArticleThe journal of spinal cord medicine2026

Secondary spinal fracture risk among patients residing in medically vulnerable areas: A population-wide study.

Younghan Cha, Minah Park, Jae-Hyun Kim, Seung Hoon Kim

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Article in The journal of spinal cord medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Younghan ChaDepartment of Orthopaedic Surgery, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, South Korea.
Minah ParkDepartment of Ophthalmology, Soonchunhyang University Hospital Cheonan, Soonchunhyang University College of Medicine, Cheonan, South Korea.
Jae-Hyun KimInstitute for Digital Life Convergence, Dankook University, Cheonan, South Korea.
Seung Hoon KimDepartment of Ophthalmology, Soonchunhyang University Hospital Cheonan, Soonchunhyang University College of Medicine, Cheonan, South Korea.ORCID 0000-0002-7704-6213

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study examined regional healthcare disparities' impact on the secondary fracture risk following spinal fractures, the likeliest secondary fracture types, and associated risk factors. MATERIALS AND

methodsParticipants were selected from the Korean National Health Insurance Service Sample Cohort. Secondary fractures were hip, wrist, humerus, spine, ankle, and pelvis fractures six months after the spinal fracture. The medically vulnerable regions were defined using the PARC index. A Cox proportional hazards model was used to examine differences in the secondary fracture.

resultsA total of 1,135 and 2,426 of the participants lived in medically severely-vulnerable and moderately-vulnerable regions, respectively. Among patients who had spinal fractures, those residing in severely-vulnerable areas had 1.16 times higher risk of secondary fractures compared to those residing in medically non-vulnerable areas. Within 25-84 months after spinal surgery, patients in severely-vulnerable regions had 1.28 times higher secondary fracture risk.

conclusionsAmong patients with spinal fractures, those residing in medically vulnerable areas have a higher secondary fracture risk than those living in non-vulnerable areas. Policy measures are crucial for preventing secondary fractures in this population.

Indexed as

Fractures, BoneHealthcare DisparitiesSpinal FracturesVulnerable PopulationsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRepublic of KoreaRisk FactorsWrist FracturesHealthcare disparitiesHealth inequitiesMedically vulnerable areaSecondary fractureSpinal fractures

Identifiers

PMID41091044
PMCPMC13591981

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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.