{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T23:07:23Z","timestamp":1767049643419,"version":"3.48.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Noncontinuous multilevel fractures (NMF) are complex injuries characterized by spinal fractures at non-adjacent levels, with reported incidence ranging from 1.6 to 17.7% depending on imaging modalities. Typically resulting from high-energy trauma such as motor vehicle accidents, NMF can also occur due to low-energy mechanisms, especially among elderly patients. We aimed to investigate clinical characteristics and fracture morphology of NMF across age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed trauma patients treated for NMF at a tertiary center from 2014 to 2021. Demographics, diagnosis, trauma mechanisms, admission, and treatment data were collected. Fractures were classified by location and type. Patients were stratified into two age groups: younger (&lt;\u200965\u00a0years) and older (\u2265\u200965\u00a0years). Descriptive statistical analysis was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty-six patients (median age 59.5\u2009\u00b1\u200916.8\u00a0years; 64% male;\u2009&lt;\u200965\u00a0years, n\u2009=\u200951;\u2009\u2265\u200965\u00a0years, n\u2009=\u200935) met inclusion criteria. ICU admission occurred in 65.1%; spinal cord injury was present in 12.8%. High-energy trauma predominated among younger patients (52.9% vs. 25.7%), whereas older patients experienced more low-energy falls (31.4% vs. 7.8%). Of 342 fractures identified, 221 occurred in younger patients; AO type A fractures and fractures in semi-rigid spinal regions were most common. Younger patients had more associated injuries. Overall, surgical treatment was performed in 76.5% of patients without age differences; 14% required revision surgery. Postoperative pneumonia affected 50%, with similar complication rates across age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite distinct trauma mechanisms and fracture morphologies between age groups, rates of surgical treatment and postoperative complications were comparable. Age-adapted diagnostic and management strategies for NMF may be beneficial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-025-04432-z","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T10:07:58Z","timestamp":1752142078000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Characteristics of noncontinuous multilevel spinal fractures: an age-group specific analysis"],"prefix":"10.1007","volume":"35","author":[{"given":"Julius","family":"Gerstmeyer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulina","family":"Schlehenkamp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aileen","family":"Spieckermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Bernstorff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirko","family":"Aach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Yilmaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas A.","family":"Schildhauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"von Glinski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christiane","family":"Kruppa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"4432_CR1","doi-asserted-by":"publisher","first-page":"1163","DOI":"10.1007\/S00586-015-4209-2\/FULLTEXT.HTML","volume":"25","author":"RM Kanna","year":"2016","unstructured":"Kanna RM, Gaike CV, Mahesh A et al (2016) Multilevel non-contiguous spinal injuries: incidence and patterns based on whole spine MRI. 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The local ethics committee approved this study (2024-230-f-S).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent waiver was granted by the institutional review board because of the retrospective nature of this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All authors have given a written declaration of consent for publication of the data obtained in this study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}}],"article-number":"298"}}