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Updated: May 24, 2026

Mouse Lumbar Vertebra Uniaxial Compression Testing with Embedding of the Loading Surface
07:52

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Published on: December 1, 2023

Comparison between continuous and discontinuous multiple vertebral compression fractures.

Shuji Kano1, Hirotaka Tanikawa, Yuji Mogami

  • 1Department of Orthopaedic Surgery, Azumi General Hospital, 3207-1 Ikeda, Ikeda-machi, Kita-azumi-gun, Nagano, 399-8695, Japan, kanoshuu1977@yahoo.co.jp.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|March 7, 2012
PubMed
Summary

Discontinuous multiple vertebral fractures (MVFs) are linked to mild trauma and osteoporosis, often affecting the thoracolumbar junction. Continuous MVFs are typically caused by high-energy trauma.

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Area of Science:

  • Orthopedics
  • Radiology
  • Gerontology

Background:

  • Multiple vertebral fractures (MVFs) can result from high-energy trauma or minor forces.
  • Fractures may occur in successive (continuous) or skipped (discontinuous) vertebrae.

Purpose of the Study:

  • Compare continuous and discontinuous MVFs.
  • Evaluate differences in injury cause, level, and osteoporosis relationship.

Main Methods:

  • Analyzed 77 patients (173 vertebrae) with acute back pain and fresh MVFs via MRI.
  • Assessed age, sex, bone mineral density (BMD), affected vertebrae level, and injury cause.

Main Results:

  • Discontinuous MVFs patients were older, more often female, with lower mean BMD (0.58 g/cm³ vs. 0.70 g/cm³).
  • 94% of discontinuous MVFs occurred at the thoracolumbar junction.
  • Continuous MVFs were linked to high-energy trauma (44%), while discontinuous MVFs were associated with mild trauma (41%) or unknown causes (38%).

Conclusions:

  • Discontinuous MVFs are typically caused by mild forces and often occur at the thoracolumbar junction.
  • Continuous MVFs are frequently a result of high-energy trauma.