@article{ref1,
title="Risk of hip fracture in women with vertebral fracture",
journal="Journal of bone and mineral research",
year="1994",
author="Kotowicz, M. A. and Melton, L. J. and Cooper, Colin and Atkinson, Elizabeth J. and O'Fallon, W. M. and Riggs, B. Lawrence",
volume="9",
number="5",
pages="599-605",
abstract="In a population-based retrospective cohort study, Rochester women aged 35-69 years who were first diagnosed with one or more vertebral fractures in 1950-1979 were followed for the development of a subsequent hip fracture. The 336 women with no history of hip fracture at the time of their vertebral fracture experienced 52 proximal femur fractures in 4788 person-years of follow-up. The standardized morbidity ratio (SMR) of observed to expected hip fractures was 1.8 (95% CI, 1.3-2.4) and was higher for intertrochanteric than cervical femoral fractures (SMR, 2.3 versus 1.3; P = 0.07). Hip fracture risk among women with symptomatic vertebral fractures was slightly less than in those with asymptomatic vertebral fractures (SMR, 1.8 versus 2.3; not significant), and younger women had no higher risk of a subsequent hip fracture than women who were > or = 60 years of age at the time of their vertebral fracture (SMR, 1.4 versus 1.8; not significant). Alternative explanations are possible, but these data are consistent with heterogeneity in the pathogenesis of different osteoporotic fractures.<p /><p>Language: en</p>",
language="en",
issn="0884-0431",
doi="10.1002/jbmr.5650090503",
url="http://dx.doi.org/10.1002/jbmr.5650090503"
}