Osteoporosis Is Undertreated After Low-energy Vertebral Comp
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The primary aim of this study was to evaluate rates of osteoporosis evaluation and treatment in adult patients after low-energy thoracolumbar vertebral compression fractures (VCFs).

Researchers examined all patients over the age of 60 who had acute thoracolumbar VCFs following a ground-level fall. Rates of osteoporosis screening with dual-energy x-ray absorptiometry and initiation of pharmaceutical treatment were registered at four time points: before the date of injury, during index hospitalization, at first primary care provider follow-up, and at final primary care provider follow-up. Secondary fragility fractures were tracked after falls. The 1-year mortality rate was calculated, as well as the total mortality rate.

Results:
--52 patients with a mean age of 83 years presenting with thoracic and/or lumbar fractures after a ground-level fall were included.

--At a mean final follow-up of 502 days, only 10 patients received pharmacologic therapy for osteoporosis and only 6 underwent postinjury dual-energy x-ray absorptiometry evaluation.

--25 patients (48%) had at least one subsequent fall at a mean of 164 days from the initial date of injury.

--11 patients with subsequent falls sustained an additional fragility fracture because of the fall, including 6 operative injuries.

--1 year mortality among the 52 patients was 26.9%, and the overall mortality rate was 44.2% at the final follow-up.

Osteoporosis, in particular, remains a major public health concern that has a significant impact on quality of life. This research highlights the importance of better osteoporosis screening and intervention in patients who have sustained VCFs.

Source: https://journals.lww.com/jaaos/Abstract/9900/Osteoporosis_Is_Undertreated_After_Low_energy.136.aspx
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