ArticleArchives of osteoporosis2026
The hidden fracture: a retrospective study of fragility vertebral fracture in patients with hip fracture.
Article in Archives of osteoporosis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Vertebral fragility fractures (VFFs) are underdiagnosed despite increasing future fracture risk. In 307 hip fragility fracture patients, 28.0% had prior radiological VFFs-mostly severe, lumbar, and wedge-type-yet only 11.6% were diagnosed. This under-recognition underscores the importance of early VFFs detection to improve outcomes and prevent further fragility fractures. PURPOSE: Vertebral fragility fractures (VFFs) are the most common osteoporotic fractures but are often undiagnosed. Despite the frequent absence of pain, VFFs are linked to increased morbidity and a higher risk of future fractures, including hip fractures. The purpose of this study was to determine the prevalence, location, type, and severity of previous VFFs in patients presenting with hip fragility fractures.
methodsWe conducted a retrospective study of patients aged ≥ 50 years with hip fragility fractures admitted to our FLS between 2019 and 2023. Inclusion criteria required the availability of thoracic and/or lumbar spine imaging performed within the previous five years. Clinical data, lifestyle factors, and FRAX scores were collected. Spine images were independently assessed by two blinded reviewers using Genant's semiquantitative method.
resultsOf 357 patients screened, 307 met inclusion criteria. The mean age was 80.9 ± 9.1 years, and 84.0% were women. Radiological VFFs were present in 28.0% of patients, yet only 11.6% had a prior diagnosis. The lumbar (41.9%) and thoracic spine (31.4%) were the most frequently affected regions. Wedge-type fractures were most common (72.9%), and 62.8% were classified as severe. Patients with VFFs were significantly older (p = 0.007) and had higher FRAX scores (p < 0.001). The odds of having VFFs were 2.17 and 2.07 times higher in patients with previous fractures and in those receiving antidepressant therapy, respectively.
conclusionsOver one-fourth of patients with hip fractures have previous VFFs, though only a small portion have been officially diagnosed. These findings underscore the high prevalence and frequent under-recognition of VFFs.
Indexed as
Identifiers
42550308What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.