{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T09:49:21Z","timestamp":1772790561817,"version":"3.50.1"},"reference-count":41,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This 10-year retrospective review included patients from a single center. Pediatric patients (&lt;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 (&gt;60 years) were included if they had spinal injuries from ground-level falls. Fractures were graded using the arbeitsgemeinschaft f\u00fcr osteosynthesefragen (AO) thoracolumbar classification. Fisher\u2019s test, Welch\u2019s\n                      <jats:italic>t<\/jats:italic>\n                      -test, and the Mann\u2013Whitney U-test were used to assess statistical differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Ninety patients were analyzed (47 pediatric, 43 geriatric). No significant difference was found in thoracolumbar grading levels between age groups (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.244), but geriatric patients had significantly higher median injury severity (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.005). All geriatric patients and 92% of pediatric patients had Type A (compression) fractures. A0 fractures were more common in pediatric (30%) than geriatric (7%) patients. A1 fractures occurred in 51% of geriatric and 49% of pediatric patients. A2 fractures were seen in 7% of geriatric patients only. A3 and A4 fractures were more prevalent in geriatric patients (23% and 12%, respectively) than in pediatric patients (16% and 5%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_524_2025","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T06:49:48Z","timestamp":1772779788000},"page":"124","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relative comparison of spinal deformity between pediatric high-impact and geriatric low-impact 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