Frequency of Vertebral Fractures in Patients presenting with Hip Fractures

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Frequency of Vertebral Fractures in Patients presenting with Hip Fractures


JournalPakistan Journal of Medical Sciences
Publication date – Jan – 2020
Authors – Muhammad Amin Chinoy , Salman Javed
KeywordsHip fracture, morbidity, Vertebral fractures
Open access – Yes
SpecialityNeurosurgery, Trauma and orthopaedic surgery, Trauma surgery
World region Southern Asia
Country: Pakistan
Language – English
Submitted to the One Surgery Index on May 8, 2020 at 12:25 pm
Abstract:

Objective:To determine the frequency of vertebral fractures in patients presenting with hip fractures. Methods:This prospective study was conducted at The Indus Hospital, Karachi, from May 2018 to November 2018. All patients above 40 years presenting with hip fractures were enrolled and a dorsal lumbar lateral view radiograph was obtained to investigate for vertebral fractures. Data was entered and analyzed using SPSS. Post-stratification, Chi-square/Fisher exact test was applied as appropriate to assess the significant association. P value of ≤0.05 was considered significant. Results:Three hundred thirty five patients were enrolled. Of these, 189 (56.4%) were females and 165 (49.3%) presented with neck of femur fractures. Out of 335 hip fractures patients, 77 (23%) were found to have concomitant vertebral fractures, with 73 (96.1%) having a compression fracture. T12 was the most common vertebra involved and 68.8% of patients were asymptomatic. Co-morbid conditions were statistically significantly associated with vertebral fractures. Conclusion:There is a high prevalence of asymptomatic vertebral fractures in our population, but low compared to studies from western countries. There is a need to evaluate these fractures separately for the prevention of morbidity and mortality.

OSI Number – 20319
PMID – 31933606

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