Osteoporosis Is Undertreated After Low-energy Vertebral Comp
Despite guidelines recommending postfracture bone health workup, multiple studies have shown that evaluation and treatment of osteoporosis has not been consistently implemented after fragility fractures. The aim of this study was to evaluate rates of osteoporosis evaluation and treatment in adult patients after low-energy thoracolumbar vertebral compression fractures (VCFs).

All patients more than 60 years old presenting to a single academic trauma center with acute thoracolumbar VCFs after a ground-level fall.

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 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 six operative injuries.

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

Conclusively, osteoporosis remains a major public health issue, which significantly affects health and quality of life. The study showed that patients with VCFs have an additional requirement to improve their osteoporosis treatment and intervention.

Source: https://journals.lww.com/jaaos/Abstract/2021/09010/Osteoporosis_Is_Undertreated_After_Low_energy.3.aspx
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