ArticleSurgical neurology international2026
Relative comparison of spinal deformity between pediatric high-impact and geriatric low-impact fractures.
Article in Surgical neurology international, 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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Abstract
Background: Spinal stress fractures are common among young athletes due to high-intensity training and repetitive spinal loading. Elderly individuals also exhibit high rates of spinal fractures, primarily due to age-related bone degeneration. This study aimed to compare fracture severity between pediatric patients experiencing high-energy mechanical injuries and geriatric patients sustaining low-energy injuries. Methods: This 10-year retrospective review included patients from a single center. Pediatric patients (<18 years) were included if they sustained injuries from exercise or motor vehicle collisions and were diagnosed with spinal stress fractures, spondylosis, spondylolisthesis, or spondylolysis. Geriatric patients (>60 years) were included if they had spinal injuries from ground-level falls. Fractures were graded using the arbeitsgemeinschaft für osteosynthesefragen (AO) thoracolumbar classification. Fisher's test, Welch's Results: Ninety patients were analyzed (47 pediatric, 43 geriatric). No significant difference was found in thoracolumbar grading levels between age groups ( Conclusion: Thoracolumbar fracture patterns were similar between age groups, but elderly patients had more severe subtype injuries, likely reflecting the impact of age-related bone fragility.
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