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Study indicates patients with hip fractures have high incidence of undiagnosed cervical myelopathy
Results from this case-control study showed an 18% incidence of neurologic dysfunction, which the authors noted was most likely cervical myelopathy, that was undiagnosed among patients with hip fractures.
Researchers prospectively assessed 28 patients older than 65 years who presented with hip fractures after a fall and a control group of 38 age-matched patients who underwent total hip arthroplasty (THA). Investigators evaluated patients for neurologic disease, historical risks for cervical myelopathy and Japanese Orthopaedic Association score. The Fisher exact test was used to compare the number of patients with cervical myelopathy in both groups.
Results showed there was no statistically significant difference between hip fracture patients and patients who underwent THA with regard to the mean patient age and the male to female ratio. Investigators noted the incidence of myelopathy was significantly higher among patients with hip fractures compared with patients who underwent THA (18% vs. 0%). ‒ by Monica Jaramillo
Disclosures: The researchers report no relevant financial disclosures.