Different patterns & trends in fractures in patients with Sp
A Study was conducted to analyze fracture incidence and trend in patients with spondyloarthritis (SpA) over an extended time period.

All SpA patient hospitalizations were analyzed. A control cohort (non-SpA cohort) matched by age, sex, region, and year of hospitalization was recruited. The age and sex-adjusted crude incidence rate was calculated for any fractures (axial and peripheral). Association between fracture type and SpA was assessed using unconditional logistic regression models.

Results:
--In the SpA cohort, the age and sex-adjusted rates per 100,000 inhabitants/year of total fracture and different types of fracture were 45.72 any fractures, 17.64 axial, and 28.02 peripheral; 29.42 osteoporotic.

--In the non-SpA cohort, they were 65.79 any, 12.08 axial, 51.52 peripheral; 31.17 osteoporotic.

--The trend in incidence rate for total fracture and different types of fracture increased similarly for both cohorts.

--In the SpA cohort, an increase of axial fractures was found (AOR 1.444), and specifically of vertebral fractures (AOR 2.440). Other types of fractures did not increase.

Conclusively, Only an increase of axial fractures, more specifically vertebral fractures, is observed in SpA.

Source: https://link.springer.com/article/10.1007/s00198-021-06079-y
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