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Incidence of Fractures in a Cohort of Veterans With Chronic Multiple Sclerosis or Traumatic Spinal Cord Injury  William C. Logan, MD, Richard Sloane,

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Presentation on theme: "Incidence of Fractures in a Cohort of Veterans With Chronic Multiple Sclerosis or Traumatic Spinal Cord Injury  William C. Logan, MD, Richard Sloane,"— Presentation transcript:

1 Incidence of Fractures in a Cohort of Veterans With Chronic Multiple Sclerosis or Traumatic Spinal Cord Injury  William C. Logan, MD, Richard Sloane, MS, Kenneth W. Lyles, MD, Barry Goldstein, MD, PhD, Helen M. Hoenig, MD, MPH  Archives of Physical Medicine and Rehabilitation  Volume 89, Issue 2, Pages (February 2008) DOI: /j.apmr Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Fig 1 Location of fracture by cause of SCD. Proportion of fractures for MS (n=219) and SCI (n=1519). NOTE. Overall difference in distribution of fractures was significant (Cochran-Mantel-Haenszel, P<.001). Abbreviations: Ext, extremity; Fem Sft Dist, femoral shaft and distal femur; Fx, fracture; Other, includes clavicle, scapula, and unclassifiable fractures; Prox Fem, proximal femur; Tib/Fib, tibia and fibula. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Fig 2 Fracture rates by cause and degree of impairment. Measure fracture rates per 100 patient-years at risk among the surviving members of our cohort stratified by degree of motor impairment and cause of SCD. Abbreviation: Imp, impairment. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

4 Fig 3 Time to first fracture by cause and degree of impairment. (A) Time to first fracture by degree of motor impairment. “Some” and “moderate” impairment had the shortest time to first fracture. (B) Time to first fracture by cause of SCD. Those with trauma had a shorter time to fracture than those with MS. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2008 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

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