Frequency of Vertebral Fractures in Patients presenting with Hip Fractures
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.
How to cite this:
Chinoy MA, Javed S. Frequency of Vertebral Fractures in Patients presenting with Hip Fractures. Pak J Med Sci. Special Supplement ICON 2020. 2020;36(1):S44-S48. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1709
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