Early screening, diagnosis, and treatment are crucial to prevent fractures and improve patient outcomes.
Vertebral fractures can be asymptomatic and go unnoticed, making screening essential.
Deep dives
Fractures related to osteoporosis
Osteoporosis is a common condition that can result in fragility fractures, especially in women over the age of 50. Sedentary lifestyles, poor nutrition, and certain medications contribute to the risk of osteoporosis-related fractures. While these fractures can occur in various bones, vertebral fractures are commonly seen at the junctions of the thoracic and lumbar spine. Hip fractures typically affect patients over 70 years old with a history of osteoporosis, and wrist fractures are more common in younger postmenopausal women. Early screening, diagnosis, and treatment are crucial to prevent fractures and improve patient outcomes.
Characteristics of vertebral fractures
Vertebral fractures, specifically in the thoracic and lumbar regions, are often caused by low-energy falls or minimal trauma such as sneezing. These fractures can be asymptomatic and go unnoticed, making screening essential. Radiographs are typically used for diagnosis, but CT or MRI scans may be necessary for more detailed evaluations or when radiographs are inconclusive. While most vertebral fractures heal within 6-12 weeks, certain complications like neurologic deficit or progressive deformity may require additional procedures.
Risk, treatment, and complications of hip and wrist fractures
Hip fractures primarily affect patients over 70 years old with a history of osteoporosis, and the risk increases with each subsequent fracture. Surgical treatment is usually necessary, considering the high mortality rate associated with nonoperative management. Wrist fractures, most commonly involving the distal radius, occur in younger postmenopausal women and are often a result of a fall on an outstretched arm. Treatment options depend on factors such as patient activity level, fracture position, and potential complications. Preventing falls and implementing comprehensive care is essential in managing these fractures and improving patient outcomes.
Osteoporosis is responsible for approximately two million fractures per year. It’s estimated that 50% of all women and 25% of all men over age 50 will suffer an osteoporosis-related fracture. Bone fractures, especially of the spine and hip are the most serious complications of osteoporosis. While vertebral compression fractures can cause chronic back pain, hip fractures can result in chronic disability and even death. Yet nearly 80% of older Americans who suffer fractures have not been tested or treated for osteoporosis and it is a very treatable condition. Today’s podcast is about common fractures associated with osteoporosis and my guests include Krystin A. Hidden, M.D., from the Department of Orthopedic Surgery and Jad Sfeir, M.D., M.S., from the Division of Endocrinology and Metabolism.