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Acta Medica Colombiana
Print version ISSN 0120-2448
Abstract
GARCIA-HENAO, LAURA MARÍA; ERAZO-CRIOLLO, HÉCTOR MAURICIO; CASTRO-OSORIO, ÉDGAR EDUARDO and ARANGO-GOMEZ, FERNANDO. Osteoporotic vertebral fractures in a tertiary care hospital. Acta Med Colomb [online]. 2023, vol.48, n.3, e02. Epub Apr 08, 2024. ISSN 0120-2448. https://doi.org/10.36104/amc.2023.2759.
Objetive:
to describe the clinical and paraclinical characteristics of patients with osteoporotic vertebral fractures at a tertiary care university hospital in Manizales, from January 2018 to January 2022.
Design:
an observational, cross-sectional descriptive study was performed.
Patients:
patients with vertebral fractures seen on diagnostic imaging.
Measurements:
the clinical and sociodemographic characteristics and admission clinical and paraclinical test results were evaluated.
Results:
a total of 174 patients were found, 68.2% of whom were females; 89.4% had high co morbidity (a Charlson index score higher than 3), 54.6% had malnutrition, 60.1% had polypharmacy and 85.4% had insufficient milk product consumption. In half of the cases, the vertebral fracture was severe (>40% reduction in the vertebral body height, according to Genant), 19.8% had a prior fracture and 15.1% were receiving pharmacological treatment for osteoporosis. The bone profile findings showed decreased levels of albumin and vitamin D with elevated PTH.
Conclusions:
two-thirds of the patients with osteoporotic vertebral fractures are females, with high comorbidity and malnutrition. Most were not receiving pharmacological treatment for osteo porosis. (Acta Med Colomb 2022; 48. DOI:https://doi.org/10.36104/amc.2023.2759).
Keywords : osteoporotic fractures; spinal column fractures; parathyroid hormone; osteoporosis; vitamin D.