Osteoporotic fractures and hospitalization risk in chronic spinal cord injury

Osteoporos Int, 2009 · DOI: 10.1007/s00198-008-0671-6 · Published: March 1, 2009

Spinal Cord Injury Musculoskeletal Medicine

Simple Explanation

This study investigates the risk factors for hospitalization due to low-impact fractures in individuals with chronic spinal cord injury (SCI). It highlights that osteoporosis is a common complication of SCI, but the specific factors contributing to fracture-related hospitalizations were not well-understood. The research involved analyzing data from 315 veterans with SCI, assessing factors like injury severity, alcohol consumption, and other health behaviors to determine their impact on the risk of hospitalization for fracture treatment. The study found that individuals with motor complete SCI and those with greater alcohol consumption after their injury were at a higher risk of hospitalization for low-impact fractures. Notably, osteoporosis diagnosis and treatment were often overlooked during these hospital admissions.

Study Duration

1996-2003

Participants

315 veterans ≥ 1 year after spinal cord injury

Evidence Level

Not specified

Key Findings

1
Motor complete spinal cord injury is an independent risk factor for hospitalization due to low-impact fractures.
2
Greater alcohol consumption after spinal cord injury is associated with an increased risk of fracture-related hospitalization.
3
Osteoporosis diagnosis and treatment were not routinely considered during hospital admissions for fractures in individuals with SCI.

Research Summary

This study prospectively assessed risk factors for hospitalization due to low-impact fractures in individuals with chronic SCI. It found a significant association between motor complete SCI and greater alcohol use after injury with fracture-related hospitalizations. The length of stay for fracture-related admissions was considerably longer than for non-fracture admissions, and medical complications were frequent. Surprisingly, osteoporosis diagnosis and management were often omitted in the treatment plans. The study concludes that improved clinical protocols are needed to prevent low-impact fractures and related admissions in individuals with SCI, particularly focusing on bone health and addressing alcohol consumption.

Practical Implications

Improved Clinical Protocols

Implement routine osteoporosis screening and management for individuals with motor complete SCI.

Targeted Interventions

Develop interventions to reduce alcohol consumption among individuals with SCI to decrease fracture risk.

Enhanced Patient Education

Educate patients with SCI on fall prevention, safe transfer techniques, and the importance of bone health.

Study Limitations

1
Small sample size
2
Limited number of female participants
3
Underestimation of fracture-related admissions due to potential hospitalizations elsewhere

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