Frequency of Vertebral Fractures in Patients presenting with Hip Fractures

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. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1709 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 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.