07 June 2025 : Database Analysis
Ten-Year Trends in Pelvic Fractures Among China's Aging Population: A Retrospective Single-Center Study
Honghu Xiao ABCDEF 1,2, Feng Gao
ACDEF 1,2,3, Yimin Chen ACDEF 1,2,3, Weidong Peng ABEF 1,2,3, Gang Liu ABF 1,2, Tingrun Cui ABF 1,2, Jing Zhang ACD 4, Minghui Yang ABDEFG 1,2,3*, Xinbao Wu ABDEFG 1,2,3
DOI: 10.12659/MSM.948835
Med Sci Monit 2025; 31:e948835
Table 2 Comparison of fracture characteristics between different age groups.
| Variables | Total (n=1037) | <60 years (n=806) | ≥60 years (n=231) | P-value |
|---|---|---|---|---|
| Age of injury, years, Mean±SD | 45.4±17.7 | 38.4±12.6 | 70.0±8.7 | <0.001 |
| Sex, n (%) | <0.001 | |||
| Male | 578 (55.7) | 476 (59.1) | 102 (44.2) | |
| Female | 459 (44.3) | 330 (40.9) | 129 (55.8) | |
| Comorbidity, n (%) | ||||
| Diabetes | 55 (5.3) | 24 (3.0) | 31 (13.4) | <0.001 |
| Hypertension | 96 (9.3) | 35 (4.3) | 61 (26.4) | <0.001 |
| CHD | 23 (2.2) | 3 (0.4) | 20 (8.7) | <0.001 |
| Associated injuries, n (%) | ||||
| Urethra | 54 (5.2) | 48 (6.0) | 6 (2.6) | 0.043 |
| Urinary bladder | 27 (2.6) | 25 (3.1) | 2 (0.9) | 0.060 |
| Spinal | 318 (30.7) | 269 (33.4) | 49 (21.2) | <0.001 |
| Craniocerebral | 87 (8.4) | 71 (8.8) | 16 (6.9) | 0.363 |
| Thoracic | 346 (33.4) | 274 (34.0) | 72 (31.2) | 0.422 |
| Abdominal | 165 (15.9) | 148 (18.4) | 17 (7.4) | <0.001 |
| Upper limb fractures | 251 (24.2) | 202 (25.1) | 49 (21.2) | 0.228 |
| Lower limb fractures | 356 (34.4) | 272 (33.7) | 84 (36.4) | 0.460 |
| Young-Burgess classification, n (%) | <0.001 | |||
| APC-1 | 53 (5.1) | 41 (5.1) | 12 (5.2) | |
| APC-26 | 73 (7.0) | 69 (8.6) | 4 (1.7) | |
| APC-3 | 31 (3.0) | 29 (3.6) | 2 (0.9) | |
| LC-1 | 332 (32.0) | 270 (33.5) | 62 (26.8) | |
| LC-2 | 168 (16.2) | 126 (15.6) | 42 (18.2) | |
| LC-3 | 38 (3.7) | 30 (3.7) | 8 (3.5) | |
| VS | 47 (4.5) | 43 (5.3) | 4 (1.7) | |
| CM | 110 (10.6) | 88 (10.9) | 22 (9.5) | |
| Unable to classify* | 185 (17.8) | 110 (13.6) | 75 (32.5) | |
| AO/OTA classification, n (%)# | <0.001 | |||
| A1 | 9 (0.9) | 8 (1.0) | 1 (0.4) | |
| A2 | 210 (20.3) | 129 (16.0) | 81 (35.1) | |
| B1 | 165 (15.9) | 129 (16.0) | 36 (15.6) | |
| B2 | 381 (36.7) | 305 (37.8) | 76 (32.9) | |
| B3 | 75 (7.2) | 69 (8.6) | 6 (2.6) | |
| C1 | 147 (14.2) | 121 (15.0) | 26 (11.3) | |
| C2 | 37 (3.6) | 36 (4.5) | 1 (0.4) | |
| C3 | 13 (1.3) | 9 (1.1) | 4 (1.7) | |
| Underwent surgery for pelvic fracture, n (%) | 535 (51.6) | 443 (55.0) | 92 (39.8) | <0.001 |
| * Avulsion fractures or isolated pubic/ischial remus fractures of pelvic ring were unable to be classified by Young-Burgess classification system. # Transverse undisplaced sacral body fractures (61A3) were not included in this study as these cases were specifically diagnosed and managed as sacral fractures rather than pelvic fractures in our institution. APC – anterior posterior compression; LC – lateral compression; VS – vertical sheer; CM – combined mechanism; AO/OTA – Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association. | ||||