Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up.

Bigdon, Sebastian; Saldarriaga, Yannis; Oswald, Katharina A C; Müller, Martin; Deml, Moritz C; Benneker, Lorin M; Ecker, Timo M; Albers, Christoph E (2022). Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up. Journal of orthopaedic surgery and research, 17(1), p. 270. BioMed Central 10.1186/s13018-022-03147-9

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STUDY DESIGN

This is a retrospective cohort study.

OBJECTIVES

This study aims to determine the proportional incidence, clinical characteristics, treatment patterns with complications and changes in treatment of vertebral fractures over 10 years at a Swiss university hospital.

METHODS

A retrospective cohort study was performed. All patients with an acute vertebral fracture were included in this study. The extracted anonymized data from the medical records were manually assessed. Demographic data, exact location, etiology, type of treatment and complications related to the treatment were obtained.

RESULTS

Of 330,225 treated patients, 4772 presented with at least one vertebral fracture. In total 8307 vertebral fractures were identified, leading to a proportional incidence of 25 vertebral fractures in 1000 patients. Fractures were equally distributed between genders. Male patients were significantly younger and more likely to sustain a traumatic fracture, while female patients more commonly presented with osteoporotic fractures. The thoracolumbar junction (Th11-L2) was the most frequent fracture site in all etiologies. More than two-thirds of vertebral fractures were treated surgically (68.6%). Out of 4622 performed surgeries, we found 290 complications (6.3%). The odds for surgical treatment in osteoporotic fractures were two times higher before 2010 compared to 2010 and after (odds ratio: 2.1, 95% CI 1.5-2.9, p < 0.001).

CONCLUSION

Twenty-five out of 1000 patients presented with a vertebral fracture. More than 4000 patients with over 8307 vertebral body fractures were treated in 10 years. Over two-thirds of all fractures were treated surgically with 6.3% complications. There was a substantial decrease in surgeries for osteoporotic fractures after 2009.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Bigdon, Sebastian, Oswald, Katharina Anna Christine, Müller, Martin (B), Deml, Moritz Caspar, Benneker, Lorin Michael, Albers, Christoph E.

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1749-799X

Publisher:

BioMed Central

Language:

English

Submitter:

Pubmed Import

Date Deposited:

16 May 2022 08:53

Last Modified:

29 Mar 2023 23:38

Publisher DOI:

10.1186/s13018-022-03147-9

PubMed ID:

35568925

Uncontrolled Keywords:

Complications Epidemiology Osteoporosis Revision surgery Spine fractures Spine surgery Treatment patterns Vertebral fractures

BORIS DOI:

10.48350/170058

URI:

https://boris.unibe.ch/id/eprint/170058

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