Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up
Abstract 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 retr...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-05-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-022-03147-9 |
| _version_ | 1798005322323853312 |
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| author | Sebastian F. Bigdon Yannis Saldarriaga Katharina A. C. Oswald Martin Müller Moritz C. Deml Lorin M. Benneker Timo M. Ecker Christoph E. Albers |
| author_facet | Sebastian F. Bigdon Yannis Saldarriaga Katharina A. C. Oswald Martin Müller Moritz C. Deml Lorin M. Benneker Timo M. Ecker Christoph E. Albers |
| author_sort | Sebastian F. Bigdon |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-11T12:38:25Z |
| format | Article |
| id | doaj.art-0de1bd42a2d045958cac1c2d58773be5 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T12:38:25Z |
| publishDate | 2022-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-0de1bd42a2d045958cac1c2d58773be52022-12-22T04:23:34ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-05-0117111210.1186/s13018-022-03147-9Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-upSebastian F. Bigdon0Yannis Saldarriaga1Katharina A. C. Oswald2Martin Müller3Moritz C. Deml4Lorin M. Benneker5Timo M. Ecker6Christoph E. Albers7Department of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of BernDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of BernDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of BernDepartment of Emergency Medicine, Inselspital, University Hospital, University of BernDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of BernDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of BernBone and Motion Center , Hirslanden Clinic LausanneDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of BernAbstract 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.https://doi.org/10.1186/s13018-022-03147-9Spine fracturesVertebral fracturesComplicationsRevision surgeryTreatment patternsSpine surgery |
| spellingShingle | Sebastian F. Bigdon Yannis Saldarriaga Katharina A. C. Oswald Martin Müller Moritz C. Deml Lorin M. Benneker Timo M. Ecker Christoph E. Albers Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up Journal of Orthopaedic Surgery and Research Spine fractures Vertebral fractures Complications Revision surgery Treatment patterns Spine surgery |
| title | Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up |
| title_full | Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up |
| title_fullStr | Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up |
| title_full_unstemmed | Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up |
| title_short | Epidemiologic analysis of 8000 acute vertebral fractures: evolution of treatment and complications at 10-year follow-up |
| title_sort | epidemiologic analysis of 8000 acute vertebral fractures evolution of treatment and complications at 10 year follow up |
| topic | Spine fractures Vertebral fractures Complications Revision surgery Treatment patterns Spine surgery |
| url | https://doi.org/10.1186/s13018-022-03147-9 |
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