• Pak J Med Sci · Jan 2020

    Frequency of Vertebral Fractures in Patients presenting with Hip Fractures.

    • Muhammad Amin Chinoy and Salman Javed.
    • Prof. Dr. Muhammad Amin Chinoy, FRCS. Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.
    • Pak J Med Sci. 2020 Jan 1; 36 (1): S44S48S44-S48.

    ObjectiveTo determine the frequency of vertebral fractures in patients presenting with hip fractures.MethodsThis 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.ResultsThree 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.ConclusionThere 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.Copyright: © Pakistan Journal of Medical Sciences.

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