Premium
Prevalence and burden of vertebral fractures in older men and women with hip fracture: A cross‐sectional study
Author(s) -
Di Monaco Marco,
Castiglioni Carlotta,
Di Monaco Roberto,
Tappero Rosa
Publication year - 2016
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.12479
Subject(s) - medicine , interquartile range , hip fracture , radiography , deformity , cross sectional study , physical therapy , surgery , osteoporosis , pathology
Aim To investigate the prevalence and burden (combination of number and severity) of vertebral fractures in men and women with hip fracture. Methods We investigated 458 of 490 hip‐fracture patients admitted consecutively to a rehabilitation hospital. Lateral radiographs of the spine were taken 19.2 ± 5.5 days (mean ± SD ) after hip‐fracture occurrence. To obtain a summary measure of vertebral fracture burden, we calculated the spinal deformity index ( SDI ) by summing the fracture grades assessed using Genant's method of all vertebrae ( T 4 to L 4). Results The median SDI score was 2 in both the 411 women and the 47 men (interquartile range 0–4 in both groups), and no significant between‐sex differences were found ( P = 0.52). A total of 69% of the women (95% CI 65–74%), and 60% of the men (95% CI 45–74%) had at least one mild vertebral fracture ( SDI score ≥1), 41% of the women (95% CI 36–46%) and 38% of the men (95% CI 24–53%) had a SDI score ≥3, whereas 16% of the women (95% CI 12% 19%) and 17% of the men (95% CI 6−28%) had at least one severe vertebral fracture. Sex was not significantly associated with a SDI score ≥1, or ≥3 or with the presence of at least one severe vertebral fracture after adjustment for age, hip‐fracture type, cognitive impairment, pressure ulcers, neurological impairment, comorbidities, number of medications in use and Barthel index scores. Conclusions The prevalence of vertebral fractures was high after hip fracture in both men and women. We found no significant between‐sex differences in the prevalence and burden of vertebral fractures. Geriatr Gerontol Int 2015; 16: 352–357.