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Updated: Dec 31, 2025
Imaging of the Microstructural Failure Mechanism in the Human Hip
Published on: September 29, 2023
Frequency of Vertebral Fractures in Patients presenting with Hip Fractures
Muhammad Amin Chinoy1, Salman Javed2
1Prof. Dr. Muhammad Amin Chinoy, FRCS. Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.
Insights
A significant 23% of hip fracture patients over 40 had vertebral fractures, mostly asymptomatic compression fractures. Early evaluation is crucial for preventing related morbidity and mortality.
Area of Science:
- Orthopedics
- Radiology
- Geriatric Medicine
Background:
- Hip fractures are common in older adults.
- Vertebral fractures often occur concurrently but may be undiagnosed.
Purpose of the Study:
- To determine the frequency of vertebral fractures in patients presenting with hip fractures.
- To assess the association of co-morbid conditions with vertebral fractures.
Main Methods:
- Prospective study of 335 patients over 40 with hip fractures.
- Dorsal lumbar lateral view radiography used to detect vertebral fractures.
- Statistical analysis using SPSS, Chi-square/Fisher exact test.
Main Results:
- 23% of patients (77/335) had vertebral fractures, predominantly compression fractures (96.1%).
- T12 was the most commonly affected vertebra.
- 68.8% of vertebral fractures were asymptomatic.
- Co-morbid conditions were significantly associated with vertebral fractures.
Conclusions:
- High prevalence of asymptomatic vertebral fractures in the studied population.
- Lower prevalence compared to Western countries.
- Need for separate evaluation of vertebral fractures to reduce morbidity and mortality.
Objective:
To determine the frequency of vertebral fractures in patients presenting with hip fractures.
Methods:
This prospective study was conducted at The Indus Hospital, Karachi, from May 2018 to November 2018. All patients above 40 years presenting with hip fractures were enrolled and a dorsal lumbar lateral view radiograph was obtained to investigate for vertebral fractures. Data was entered and analyzed using SPSS. Post-stratification, Chi-square/Fisher exact test was applied as appropriate to assess the significant association. P value of ≤0.05 was considered significant.
Results:
Three hundred thirty five patients were enrolled. Of these, 189 (56.4%) were females and 165 (49.3%) presented with neck of femur fractures. Out of 335 hip fractures patients, 77 (23%) were found to have concomitant vertebral fractures, with 73 (96.1%) having a compression fracture. T12 was the most common vertebra involved and 68.8% of patients were asymptomatic. Co-morbid conditions were statistically significantly associated with vertebral fractures.
Conclusion:
There is a high prevalence of asymptomatic vertebral fractures in our population, but low compared to studies from western countries. There is a need to evaluate these fractures separately for the prevention of morbidity and mortality.
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