Rates of osteoporosis screening and treatment following vertebral fracture

The Spine Journal : Official Journal of the North American Spine Society
David W BartonJonathan J Carmouche

Abstract

Osteoporosis remains an underrecognized and undertreated disease entity in the orthopaedic setting, accounting for substantial long-term morbidity and mortality. Osteoporosis is often not diagnosed or treated until multiple fractures have occurred. Vertebral compression fractures are the most common sentinel fracture, providing an opportunity to intervene with antiresorptive therapy before more debilitating fractures occur. Little data has been published on osteoporosis screening and treatment following vertebral fractures. Further elucidation of the osteoporosis care gap in these patients is warranted. To demonstrate the current state of post vertebral fracture osteoporosis management at a large tertiary care center with no established secondary fracture prevention program. Retrospective cohort study. A large tertiary care hospital or one of its affiliated community hospitals. All 2,933 patients, 50 years of age or older, who presented to an emergency department with a new vertebral fracture between 2008 and 2014. The physiological measures are rates of new fractures within 2 years following first vertebral fracture. Post vertebral fracture rates of dual energy X-ray absorptiometry (DXA) testing, calcium and vitamin D suppleme...Continue Reading

Citations

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