Risk factors for subsequent vertebral fracture after acute osteoporotic vertebral fractures
Purpose To investigate the incidence and characteristics of subsequent vertebral fracture after osteoporotic vertebral fractures (OVFs) and identify risk factors for subsequent vertebral fractures. Methods This post-hoc analysis from a prospective randomized multicenter trial included 225 patients w...
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| Veröffentlicht in: | European spine journal 2021-09, Vol.30 (9), p.2698-2707 |
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| creator | Inose, Hiroyuki Kato, Tsuyoshi Ichimura, Shoichi Nakamura, Hiroaki Hoshino, Masatoshi Togawa, Daisuke Hirano, Toru Tokuhashi, Yasuaki Ohba, Tetsuro Haro, Hirotaka Tsuji, Takashi Sato, Kimiaki Sasao, Yutaka Takahata, Masahiko Otani, Koji Momoshima, Suketaka Takahashi, Kunihiko Yuasa, Masato Hirai, Takashi Yoshii, Toshitaka Okawa, Atsushi |
| description | Purpose
To investigate the incidence and characteristics of subsequent vertebral fracture after osteoporotic vertebral fractures (OVFs) and identify risk factors for subsequent vertebral fractures.
Methods
This post-hoc analysis from a prospective randomized multicenter trial included 225 patients with a 48-week follow-up period. Differences between the subsequent and non-subsequent fracture groups were analyzed.
Results
Of the 225 patients, 15 (6.7%) had a subsequent fracture during the 48-week follow-up. The annual incidence of subsequent vertebral fracture after fresh OVFs in women aged 65–85 years was 68.8 per 1000 person-years. Most patients (73.3%) experienced subsequent vertebral fractures within 6 months. At 48 weeks, European Quality of Life-5 Dimensions, the Japanese Orthopedic Association Back Pain Evaluation Questionnaire pain-related disorder, walking ability, social life function, and lumbar function scores were significantly lower, while the visual analog scale (VAS) for low back pain was higher in patients with subsequent fracture. Cox proportional hazards analysis showed that a VAS score ≥ 70 at 0 weeks was an independent predictor of subsequent vertebral fracture. After adjustment for history of previous fracture, there was a ~ 67% reduction in the risk of subsequent vertebral fracture at the rigid-brace treatment.
Conclusion
Women with a fresh OVF were at higher risk for subsequent vertebral fracture within the next year. Severe low back pain and use of soft braces were associated with higher risk of subsequent vertebral fractures. Therefore, when treating patients after OVFs with these risk factors, more attention may be needed for the occurrence of subsequent vertebral fractures.
Level of evidence
III |
| doi_str_mv | 10.1007/s00586-021-06741-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2483814808</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2483814808</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-1a6f212e631da02058c3c8eea12b69f8619dfa984205f3343e2ce8f6167c08d03</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMotn78AQ-y4MXL6kySzWaPIn6BIIiePIQ0nUhr29QkK_jvjdYPEPE0h3nmnZmHsT2EIwRojxNAo1UNHGtQrcRarLEhSsFr6ARfZ0PoJNSqxW7AtlKaAmDTgdpkAyEabITAIXu4naSnyluXQ0yVD7FK_SjRc0-LXL1QzDSKdlb5WIg-UmV9plhZ12eqQsoUliGGPHF_sGmHbXg7S7T7WbfZ_fnZ3ellfX1zcXV6cl07KTHXaJXnyEkJHFvg5ScnnCayyEeq81phN_a207K0vBBSEHekvULVOtBjENvscJW7jKEcnrKZT5Kj2cwuKPTJcKmFRqlBF_TgFzoNfVyU6wxvVMNb1WpVKL6iXAwpRfJmGSdzG18NgnlXb1bqTVFvPtQbUYb2P6P70ZzG3yNfrgsgVkAqrcUjxZ_d_8S-AaX4jy0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2565276786</pqid></control><display><type>article</type><title>Risk factors for subsequent vertebral fracture after acute osteoporotic vertebral fractures</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Inose, Hiroyuki ; Kato, Tsuyoshi ; Ichimura, Shoichi ; Nakamura, Hiroaki ; Hoshino, Masatoshi ; Togawa, Daisuke ; Hirano, Toru ; Tokuhashi, Yasuaki ; Ohba, Tetsuro ; Haro, Hirotaka ; Tsuji, Takashi ; Sato, Kimiaki ; Sasao, Yutaka ; Takahata, Masahiko ; Otani, Koji ; Momoshima, Suketaka ; Takahashi, Kunihiko ; Yuasa, Masato ; Hirai, Takashi ; Yoshii, Toshitaka ; Okawa, Atsushi</creator><creatorcontrib>Inose, Hiroyuki ; Kato, Tsuyoshi ; Ichimura, Shoichi ; Nakamura, Hiroaki ; Hoshino, Masatoshi ; Togawa, Daisuke ; Hirano, Toru ; Tokuhashi, Yasuaki ; Ohba, Tetsuro ; Haro, Hirotaka ; Tsuji, Takashi ; Sato, Kimiaki ; Sasao, Yutaka ; Takahata, Masahiko ; Otani, Koji ; Momoshima, Suketaka ; Takahashi, Kunihiko ; Yuasa, Masato ; Hirai, Takashi ; Yoshii, Toshitaka ; Okawa, Atsushi</creatorcontrib><description>Purpose
To investigate the incidence and characteristics of subsequent vertebral fracture after osteoporotic vertebral fractures (OVFs) and identify risk factors for subsequent vertebral fractures.
Methods
This post-hoc analysis from a prospective randomized multicenter trial included 225 patients with a 48-week follow-up period. Differences between the subsequent and non-subsequent fracture groups were analyzed.
Results
Of the 225 patients, 15 (6.7%) had a subsequent fracture during the 48-week follow-up. The annual incidence of subsequent vertebral fracture after fresh OVFs in women aged 65–85 years was 68.8 per 1000 person-years. Most patients (73.3%) experienced subsequent vertebral fractures within 6 months. At 48 weeks, European Quality of Life-5 Dimensions, the Japanese Orthopedic Association Back Pain Evaluation Questionnaire pain-related disorder, walking ability, social life function, and lumbar function scores were significantly lower, while the visual analog scale (VAS) for low back pain was higher in patients with subsequent fracture. Cox proportional hazards analysis showed that a VAS score ≥ 70 at 0 weeks was an independent predictor of subsequent vertebral fracture. After adjustment for history of previous fracture, there was a ~ 67% reduction in the risk of subsequent vertebral fracture at the rigid-brace treatment.
Conclusion
Women with a fresh OVF were at higher risk for subsequent vertebral fracture within the next year. Severe low back pain and use of soft braces were associated with higher risk of subsequent vertebral fractures. Therefore, when treating patients after OVFs with these risk factors, more attention may be needed for the occurrence of subsequent vertebral fractures.
Level of evidence
III</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-021-06741-3</identifier><identifier>PMID: 33515331</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Aged, 80 and over ; Back pain ; Chiropractic medicine ; Female ; Fractures ; Humans ; Low back pain ; Medicine ; Medicine & Public Health ; Neurosurgery ; Original Article ; Osteoporosis ; Osteoporotic Fractures - epidemiology ; Patients ; Prospective Studies ; Quality of Life ; Risk Factors ; Spinal Fractures - epidemiology ; Surgical Orthopedics ; Vertebrae</subject><ispartof>European spine journal, 2021-09, Vol.30 (9), p.2698-2707</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-1a6f212e631da02058c3c8eea12b69f8619dfa984205f3343e2ce8f6167c08d03</citedby><cites>FETCH-LOGICAL-c441t-1a6f212e631da02058c3c8eea12b69f8619dfa984205f3343e2ce8f6167c08d03</cites><orcidid>0000-0003-4195-2545</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-021-06741-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-021-06741-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33515331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inose, Hiroyuki</creatorcontrib><creatorcontrib>Kato, Tsuyoshi</creatorcontrib><creatorcontrib>Ichimura, Shoichi</creatorcontrib><creatorcontrib>Nakamura, Hiroaki</creatorcontrib><creatorcontrib>Hoshino, Masatoshi</creatorcontrib><creatorcontrib>Togawa, Daisuke</creatorcontrib><creatorcontrib>Hirano, Toru</creatorcontrib><creatorcontrib>Tokuhashi, Yasuaki</creatorcontrib><creatorcontrib>Ohba, Tetsuro</creatorcontrib><creatorcontrib>Haro, Hirotaka</creatorcontrib><creatorcontrib>Tsuji, Takashi</creatorcontrib><creatorcontrib>Sato, Kimiaki</creatorcontrib><creatorcontrib>Sasao, Yutaka</creatorcontrib><creatorcontrib>Takahata, Masahiko</creatorcontrib><creatorcontrib>Otani, Koji</creatorcontrib><creatorcontrib>Momoshima, Suketaka</creatorcontrib><creatorcontrib>Takahashi, Kunihiko</creatorcontrib><creatorcontrib>Yuasa, Masato</creatorcontrib><creatorcontrib>Hirai, Takashi</creatorcontrib><creatorcontrib>Yoshii, Toshitaka</creatorcontrib><creatorcontrib>Okawa, Atsushi</creatorcontrib><title>Risk factors for subsequent vertebral fracture after acute osteoporotic vertebral fractures</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
To investigate the incidence and characteristics of subsequent vertebral fracture after osteoporotic vertebral fractures (OVFs) and identify risk factors for subsequent vertebral fractures.
Methods
This post-hoc analysis from a prospective randomized multicenter trial included 225 patients with a 48-week follow-up period. Differences between the subsequent and non-subsequent fracture groups were analyzed.
Results
Of the 225 patients, 15 (6.7%) had a subsequent fracture during the 48-week follow-up. The annual incidence of subsequent vertebral fracture after fresh OVFs in women aged 65–85 years was 68.8 per 1000 person-years. Most patients (73.3%) experienced subsequent vertebral fractures within 6 months. At 48 weeks, European Quality of Life-5 Dimensions, the Japanese Orthopedic Association Back Pain Evaluation Questionnaire pain-related disorder, walking ability, social life function, and lumbar function scores were significantly lower, while the visual analog scale (VAS) for low back pain was higher in patients with subsequent fracture. Cox proportional hazards analysis showed that a VAS score ≥ 70 at 0 weeks was an independent predictor of subsequent vertebral fracture. After adjustment for history of previous fracture, there was a ~ 67% reduction in the risk of subsequent vertebral fracture at the rigid-brace treatment.
Conclusion
Women with a fresh OVF were at higher risk for subsequent vertebral fracture within the next year. Severe low back pain and use of soft braces were associated with higher risk of subsequent vertebral fractures. Therefore, when treating patients after OVFs with these risk factors, more attention may be needed for the occurrence of subsequent vertebral fractures.
Level of evidence
III</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Back pain</subject><subject>Chiropractic medicine</subject><subject>Female</subject><subject>Fractures</subject><subject>Humans</subject><subject>Low back pain</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Osteoporosis</subject><subject>Osteoporotic Fractures - epidemiology</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>Spinal Fractures - epidemiology</subject><subject>Surgical Orthopedics</subject><subject>Vertebrae</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE1LAzEQhoMotn78AQ-y4MXL6kySzWaPIn6BIIiePIQ0nUhr29QkK_jvjdYPEPE0h3nmnZmHsT2EIwRojxNAo1UNHGtQrcRarLEhSsFr6ARfZ0PoJNSqxW7AtlKaAmDTgdpkAyEabITAIXu4naSnyluXQ0yVD7FK_SjRc0-LXL1QzDSKdlb5WIg-UmV9plhZ12eqQsoUliGGPHF_sGmHbXg7S7T7WbfZ_fnZ3ellfX1zcXV6cl07KTHXaJXnyEkJHFvg5ScnnCayyEeq81phN_a207K0vBBSEHekvULVOtBjENvscJW7jKEcnrKZT5Kj2cwuKPTJcKmFRqlBF_TgFzoNfVyU6wxvVMNb1WpVKL6iXAwpRfJmGSdzG18NgnlXb1bqTVFvPtQbUYb2P6P70ZzG3yNfrgsgVkAqrcUjxZ_d_8S-AaX4jy0</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Inose, Hiroyuki</creator><creator>Kato, Tsuyoshi</creator><creator>Ichimura, Shoichi</creator><creator>Nakamura, Hiroaki</creator><creator>Hoshino, Masatoshi</creator><creator>Togawa, Daisuke</creator><creator>Hirano, Toru</creator><creator>Tokuhashi, Yasuaki</creator><creator>Ohba, Tetsuro</creator><creator>Haro, Hirotaka</creator><creator>Tsuji, Takashi</creator><creator>Sato, Kimiaki</creator><creator>Sasao, Yutaka</creator><creator>Takahata, Masahiko</creator><creator>Otani, Koji</creator><creator>Momoshima, Suketaka</creator><creator>Takahashi, Kunihiko</creator><creator>Yuasa, Masato</creator><creator>Hirai, Takashi</creator><creator>Yoshii, Toshitaka</creator><creator>Okawa, Atsushi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4195-2545</orcidid></search><sort><creationdate>20210901</creationdate><title>Risk factors for subsequent vertebral fracture after acute osteoporotic vertebral fractures</title><author>Inose, Hiroyuki ; Kato, Tsuyoshi ; Ichimura, Shoichi ; Nakamura, Hiroaki ; Hoshino, Masatoshi ; Togawa, Daisuke ; Hirano, Toru ; Tokuhashi, Yasuaki ; Ohba, Tetsuro ; Haro, Hirotaka ; Tsuji, Takashi ; Sato, Kimiaki ; Sasao, Yutaka ; Takahata, Masahiko ; Otani, Koji ; Momoshima, Suketaka ; Takahashi, Kunihiko ; Yuasa, Masato ; Hirai, Takashi ; Yoshii, Toshitaka ; Okawa, Atsushi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-1a6f212e631da02058c3c8eea12b69f8619dfa984205f3343e2ce8f6167c08d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Back pain</topic><topic>Chiropractic medicine</topic><topic>Female</topic><topic>Fractures</topic><topic>Humans</topic><topic>Low back pain</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Osteoporosis</topic><topic>Osteoporotic Fractures - epidemiology</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>Spinal Fractures - epidemiology</topic><topic>Surgical Orthopedics</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inose, Hiroyuki</creatorcontrib><creatorcontrib>Kato, Tsuyoshi</creatorcontrib><creatorcontrib>Ichimura, Shoichi</creatorcontrib><creatorcontrib>Nakamura, Hiroaki</creatorcontrib><creatorcontrib>Hoshino, Masatoshi</creatorcontrib><creatorcontrib>Togawa, Daisuke</creatorcontrib><creatorcontrib>Hirano, Toru</creatorcontrib><creatorcontrib>Tokuhashi, Yasuaki</creatorcontrib><creatorcontrib>Ohba, Tetsuro</creatorcontrib><creatorcontrib>Haro, Hirotaka</creatorcontrib><creatorcontrib>Tsuji, Takashi</creatorcontrib><creatorcontrib>Sato, Kimiaki</creatorcontrib><creatorcontrib>Sasao, Yutaka</creatorcontrib><creatorcontrib>Takahata, Masahiko</creatorcontrib><creatorcontrib>Otani, Koji</creatorcontrib><creatorcontrib>Momoshima, Suketaka</creatorcontrib><creatorcontrib>Takahashi, Kunihiko</creatorcontrib><creatorcontrib>Yuasa, Masato</creatorcontrib><creatorcontrib>Hirai, Takashi</creatorcontrib><creatorcontrib>Yoshii, Toshitaka</creatorcontrib><creatorcontrib>Okawa, Atsushi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inose, Hiroyuki</au><au>Kato, Tsuyoshi</au><au>Ichimura, Shoichi</au><au>Nakamura, Hiroaki</au><au>Hoshino, Masatoshi</au><au>Togawa, Daisuke</au><au>Hirano, Toru</au><au>Tokuhashi, Yasuaki</au><au>Ohba, Tetsuro</au><au>Haro, Hirotaka</au><au>Tsuji, Takashi</au><au>Sato, Kimiaki</au><au>Sasao, Yutaka</au><au>Takahata, Masahiko</au><au>Otani, Koji</au><au>Momoshima, Suketaka</au><au>Takahashi, Kunihiko</au><au>Yuasa, Masato</au><au>Hirai, Takashi</au><au>Yoshii, Toshitaka</au><au>Okawa, Atsushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for subsequent vertebral fracture after acute osteoporotic vertebral fractures</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>30</volume><issue>9</issue><spage>2698</spage><epage>2707</epage><pages>2698-2707</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
To investigate the incidence and characteristics of subsequent vertebral fracture after osteoporotic vertebral fractures (OVFs) and identify risk factors for subsequent vertebral fractures.
Methods
This post-hoc analysis from a prospective randomized multicenter trial included 225 patients with a 48-week follow-up period. Differences between the subsequent and non-subsequent fracture groups were analyzed.
Results
Of the 225 patients, 15 (6.7%) had a subsequent fracture during the 48-week follow-up. The annual incidence of subsequent vertebral fracture after fresh OVFs in women aged 65–85 years was 68.8 per 1000 person-years. Most patients (73.3%) experienced subsequent vertebral fractures within 6 months. At 48 weeks, European Quality of Life-5 Dimensions, the Japanese Orthopedic Association Back Pain Evaluation Questionnaire pain-related disorder, walking ability, social life function, and lumbar function scores were significantly lower, while the visual analog scale (VAS) for low back pain was higher in patients with subsequent fracture. Cox proportional hazards analysis showed that a VAS score ≥ 70 at 0 weeks was an independent predictor of subsequent vertebral fracture. After adjustment for history of previous fracture, there was a ~ 67% reduction in the risk of subsequent vertebral fracture at the rigid-brace treatment.
Conclusion
Women with a fresh OVF were at higher risk for subsequent vertebral fracture within the next year. Severe low back pain and use of soft braces were associated with higher risk of subsequent vertebral fractures. Therefore, when treating patients after OVFs with these risk factors, more attention may be needed for the occurrence of subsequent vertebral fractures.
Level of evidence
III</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33515331</pmid><doi>10.1007/s00586-021-06741-3</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-4195-2545</orcidid></addata></record> |
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| ispartof | European spine journal, 2021-09, Vol.30 (9), p.2698-2707 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Aged, 80 and over Back pain Chiropractic medicine Female Fractures Humans Low back pain Medicine Medicine & Public Health Neurosurgery Original Article Osteoporosis Osteoporotic Fractures - epidemiology Patients Prospective Studies Quality of Life Risk Factors Spinal Fractures - epidemiology Surgical Orthopedics Vertebrae |
| title | Risk factors for subsequent vertebral fracture after acute osteoporotic vertebral fractures |
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