A historical study of appendicular fractures in veterans with traumatic chronic spinal cord injury: 2002–2007

Monique Bethel, Lauren Bailey, Frances Weaver, Robert L. Harmon, Michael M. Priebe, Brian Le, Hammad Aslam, Zachary Fausel, Helen Hoenig, Laura D Carbone

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: Describe the incidence and distribution of appendicular fractures in a cohort of veterans with spinal cord injury (SCI). Design: Retrospective, observational study of fractures in veterans with a chronic traumatic SCI. Setting: The Veterans Health Administration (VA) healthcare system. Participants: Veterans included in the VA Spinal Cord Dysfunction Registry from Fiscal Years (FY) FY2002–FY2007. Interventions: Not applicable. Main Outcome Measures: Description of fractures by site and number. Mortality at one year following incident fracture among men with single vs. multiple fractures. Results: Male and female veterans sustained incident fractures with similar observed frequency (10.5% vs 11.5%). The majority of fractures occurred in the lower extremities for both men and women. In men, a complete extent of injury (compared to incomplete) was associated with 41% greater relative risk (RR) of incident fracture (RR 1.41, 95% confidence interval [1.17, 1.70]) among those with tetraplegia, but not paraplegia. Furthermore, many men (33.9%, n = 434) sustained multiple fractures over the course of the study. There were no differences in mortality between men who sustained a single fracture and those who had multiple fractures. Conclusions: The extent of injury may be an important predictor of fracture risk for male veterans with tetraplegia. Once a fracture occurs, male veterans with SCI appear to be at high risk for additional fractures.

Original languageEnglish (US)
Pages (from-to)686-692
Number of pages7
JournalJournal of Spinal Cord Medicine
Volume39
Issue number6
DOIs
StatePublished - Nov 1 2016

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Veterans
Spinal Cord Injuries
Veterans Health
United States Department of Veterans Affairs
Quadriplegia
Mortality
Paraplegia
Wounds and Injuries
Observational Studies
Registries
Lower Extremity
Spinal Cord
Retrospective Studies
Outcome Assessment (Health Care)
Confidence Intervals
Delivery of Health Care
Incidence
Multiple Fractures

Keywords

  • Bone fractures
  • Epidemiology
  • Osteoporosis
  • Spinal cord injuries

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

A historical study of appendicular fractures in veterans with traumatic chronic spinal cord injury : 2002–2007. / Bethel, Monique; Bailey, Lauren; Weaver, Frances; Harmon, Robert L.; Priebe, Michael M.; Le, Brian; Aslam, Hammad; Fausel, Zachary; Hoenig, Helen; Carbone, Laura D.

In: Journal of Spinal Cord Medicine, Vol. 39, No. 6, 01.11.2016, p. 686-692.

Research output: Contribution to journalArticle

Bethel, M, Bailey, L, Weaver, F, Harmon, RL, Priebe, MM, Le, B, Aslam, H, Fausel, Z, Hoenig, H & Carbone, LD 2016, 'A historical study of appendicular fractures in veterans with traumatic chronic spinal cord injury: 2002–2007', Journal of Spinal Cord Medicine, vol. 39, no. 6, pp. 686-692. https://doi.org/10.1080/10790268.2016.1149930
Bethel, Monique ; Bailey, Lauren ; Weaver, Frances ; Harmon, Robert L. ; Priebe, Michael M. ; Le, Brian ; Aslam, Hammad ; Fausel, Zachary ; Hoenig, Helen ; Carbone, Laura D. / A historical study of appendicular fractures in veterans with traumatic chronic spinal cord injury : 2002–2007. In: Journal of Spinal Cord Medicine. 2016 ; Vol. 39, No. 6. pp. 686-692.
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