Does a fracture liaison service program minimize recurrent fragility fractures in the elderly with osteoporotic vertebral compression fractures?

There is a sizable proportion of elderly, both men and women, with fragility fractures, approximately 2 million fractures per year in the United States. A retrospective chart review of 365 patient presented between January 2012 and December 2017 with vertebral compression fractures. Pre-post study d...

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Bibliographic Details
Published in:The American journal of surgery 2019-03, Vol.217 (3), p.557-560
Main Authors: Wasfie, Tarik, Jackson, Avery, Brock, Caramarie, Galovska, Stefanija, McCullough, Jennifer R., Burgess, Jacob A.
Format: Article
Language:English
Subjects:
Age
Approximation
Biocompatibility
Bone density
Bones
Calcium
Calcium (blood)
Compliance
Compression
Dual energy X-ray absorptiometry
Females
Fracture liaison service
Fractures
Fragility
Fragility fractures
Geriatrics
Laboratories
Older people
Osteoporosis
Patients
Risk assessment
Trauma
Vertebrae
Vitamin D
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Summary:There is a sizable proportion of elderly, both men and women, with fragility fractures, approximately 2 million fractures per year in the United States. A retrospective chart review of 365 patient presented between January 2012 and December 2017 with vertebral compression fractures. Pre-post study design to determine refracture between Group A (before Fracture Liaison Service (FLS)) and Group B, after. Calcium, Vitamin D, DEXA scans, FRAX scores, and refracture rates were measured. Mean age for group A and B were 79.0 and 74.9 years, respectively, and predominantly females. Serum calcium was higher in group B (9.51 mg/d/L versus 9.40 mg/dL) but not significant (p = 0.19). Fracture score among the groups was similar (20% versus 22%; p = 0.44). The total refracture rate for both vertebral and other fracture was significantly less in the post FLS patients, 36.5% versus 56% p-value = 0.01. FLS program benefited patients with fragility fractures by decreasing the incidence of all refracture rates. •Reduce the reoccurrence of fragility fractures in patients with osteoporotic vertebral fractures using a Fracture Liaison Service program.•The FLS program encourages patient's follow-up to identify and treat factors contributing to higher refracture rates.•Following vertebral augmentation of osteoporotic patients, the FLS program is used to reduce the refracture rate.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2018.09.027