Журнал остеопороза и физической активности
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Burden of Osteoporotic Fracture in Northern Spain

Rafael Izquierdo-Avino*, Patricio Freile-Pazmino

The appearance of an osteoporotic fracture, also called fragility fracture, is the most serious consequence of osteoporosis due to its clinical implications that lead to functional decline, chronic pain, disability, decreased quality of life, as well as increased morbidity and mortality. A retrospective observational study was conducted in patients over 50 years of age who had suffered at least one fragility fracture at humerus, distal forearm, vertebra, pelvis or hip during a 2-year period in Aragon, Northern region of Spain. A total of 11,986 patients with osteoporotic fracture were obtained, accounting for a crude incidence of 13.29/1,000 inhabitants-year. Most of them were women (75.63%), compared to men (24.37%). A gradual increase in the number of fractures was observed with advancing age, increasing up to 51.84% of the total number of osteoporotic fractures in the group over 80 years of age. Most frequent skeletal site was hip with 30.08%, followed by distal forearm (25.12%), proximal humerus (20.02%) and vertebral (11.34%). Osteoporotic fractures have a high incidence in the population of Aragon, particularly in older women. The data presented will be useful for healthcare and economic planning in the coming years. These fractures entail a high healthcare uptake as well as a substantial impact on healthcare budget, especially in the case of hip fracture. It is essential that secondary prevention measures for osteoporotic fractures, such as Fracture Liaison Services (FLS), are implemented by public health systems.