Wednesday, September 26, 2018 7:35 AM–9:00 AM ePosters

Abstract

BACKGROUND CONTEXT Low energy distal radius and vertebral fragility fractures (VFF) are common injuries in the osteoporotic patient. In this study, the Own the Bone (OTB) database was examined to (1) examine the specific demographics of patients presenting with a VFF or a distal radius fracture and, (2) compare fracture-specific risk factors between patients with VFF against patients with a distal radius fracture. PURPOSE To determine whether or not there are differences between patients sustaining VFF versus distal radius fractures. STUDY DESIGN/SETTING This study uses data from the Own the Bone registry which is the largest, multicenter data registry in the United States to analyze patients presenting with fragility fractures. METHODS This study used the American Orthopaedic Assocation's OTB program registry which contains data on 42,862 patients presenting with insufficiency fractures. After excluding all other fracture types, there were 4,841 VFF and 2,557 distal radius fractures. These fracture types account for 11.2% and 6.0% of the preseting fractures at OTB enrollment. RESULTS The majority of both VFF and distal radius fracture patients were Caucasian, postmenopausal females (72.8% and 80.6%, respectively). Multivariate analysis demonstrated that patients with a prior history of at least one distal radius fracture are more likely to sustain an additional distal radius fracture (OR 2.25, p CONCLUSIONS VFF and distal radius fractures remain common sites for insufficiency fractures. Multiple patient-related factors significantly increase the risk of vertebral fragility fracture compared to distal radius fractures including vitamin D insufficiency and active smoking. Patients with a history of a fragility fracture of the vertebral column after age 50 had a substantially increased risk of sustaining a secondary vertebral fracture. Interestingly, patients with a previous history of a vertebral fracture after age 50 as well as a previous distal radius fracture were more likely to sustain an additional vertebral fragility fracture. Understanding the risk factors unique to these fracture types is critical in allowing physicians to appropriately treat these patients to mitigate the negative sequelae of osteoporosis in this patient population.