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Mortality after hip fracture with vertebral compression fracture is poor

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Abstract

Due to the increasing elderly population, the prevalence of osteoporotic hip fractures in Japanese patients continues to rise. It is well established that patients with either hip fracture or both symptomatic and asymptomatic morphometric vertebral compression fracture (VCF) have a poor health prognosis compared with the general population. The purpose of this study was to retrospectively investigate vertebral fracture rates among patients with hip fracture and their influence on mortality. We examined 182 cases of osteoporotic hip fracture in patients admitted to our institution between January 2009 and May 2011. The average age at the time of fracture was 85 years. Radiographs of the lumbar spine were obtained from all of the participants and the lateral spinal radiographs were examined for evidence of VCF. The patients were classified into two groups, those with VCF and those without. A VCF was identified in approximately 78 % of the patients. The mortality rate 1 year after the hip fracture was approximately 22 % and it was significantly higher in patients with VCF. Through multivariate statistics we found that VCF, post-operative complication, loss of ambulation after operation and medication for osteoporosis were statistically significant. In other words, VCF, post-operative complication and loss of ambulation were considered to be poor prognostic factors and medication for osteoporosis was likely to improve the prognosis. We concluded that the risk of mortality after hip fracture is significantly greater in patients who also have VCF compared to patients without VCF, and that medication for osteoporosis is likely to improve prognosis.

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Acknowledgments

We thank Dr. Yugo Shobugawa (Division of International Health, Niigata University, Graduated School of Medical and Dental Science) for his assistance in statistical analyses.

Conflict of interest

The authors have no conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Ojiya General Hospital, 1-13-33 Honcho, Ojiya, Niigata, 9478601, Japan

    Norio Imai & Tadashi Hoshino

  2. Department of Orthopaedic Surgery, Niigata University Medical and Dental Hospital, 1-757 Asahimachidori, Niigata, Niigata, Japan

    Norio Imai, Naoto Endo, Ken Suda, Dai Miyasaka & Tomoyuki Ito

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  1. Norio Imai
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  2. Naoto Endo
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  3. Tadashi Hoshino
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  4. Ken Suda
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  5. Dai Miyasaka
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  6. Tomoyuki Ito
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Correspondence to Norio Imai.

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Imai, N., Endo, N., Hoshino, T. et al. Mortality after hip fracture with vertebral compression fracture is poor. J Bone Miner Metab 34, 51–54 (2016). https://doi.org/10.1007/s00774-014-0640-4

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  • DOI: https://doi.org/10.1007/s00774-014-0640-4

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