Abstract: ObjectiveTo discuss the causes, preventions and treatments of fractures after spinal cord injury (SCI).MethodsA retrospective survey was carried out in the clinical data of 22 patients who suffered fractures after SCI in China Rehabilitation Research Center (CRRC) during 1988-2001.ResultsAll the patients showed osteoporosis or osteopenia in different degrees,fractures occured unconsciously or during minor force,without symptoms after fractures.It was difficult to discover and often was neglected. 15 patients were cured by surgical operation.Conclusions Osteoporosis is the pathological base of fractures after SCI, excess loading stress in the diaphysis is the main cause during joint movement passively, it is important to emphasize preventions and treatments of osteoporosis on early stage and the health propaganda and education is needed.

Key words: spinal cord injury(SCI), fracture, osteoporosis