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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Bethel, M; Bailey, L; Weaver, F; Harmon, RL; Priebe, MM; Le, B; Aslam, H; Fausel, Z; Hoenig, H; Carbone, LD

Published Date

  • November 2016

Published In

Volume / Issue

  • 39 / 6

Start / End Page

  • 686 - 692

PubMed ID

  • 26899918

Pubmed Central ID

  • PMC5137562

Electronic International Standard Serial Number (EISSN)

  • 2045-7723

Digital Object Identifier (DOI)

  • 10.1080/10790268.2016.1149930


  • eng

Conference Location

  • England