Best Practices for Management of Fractures in Spinal Cord Injuries and Disorders

骨质疏松性骨折是脊髓损伤（SCI）患者的严重问题。然而，最好 这些骨折的急性护理管理，包括是否应该手术与非手术治疗， 这一决定已经完成，影响这一决定的因素尚不清楚。这一点得到了供应商的充分赞赏，他们 我已经向SCI QUERI确定了研究，以建立治疗骨折患者的最佳实践， SCI应该是一个优先领域。下肢骨折的手术治疗比 以前报道过，这些骨折中约有10-37%现在通过手术治疗。但 影响手术与非手术骨折治疗选择的因素以及这些因素之后的结果 尚未描述治疗方法。在本提案中，我们将利用半结构化的管理数据库， 调查问卷和案例情景，并召集一个杰出的咨询小组审查这一信息， 现有的文献，开始了解最佳的管理过程中，脊髓损伤。 我们将在调查中包括患者和提供者（整形外科医生和PM&R医生）。这 该提案对不断扩大的SCI患者群体具有直接、立即的潜在临床益处。它将 为提供者提供宝贵的信息，以便能够更好地照顾这些患者， 骨质疏松性骨折

Osteoporotic-related fractures are a serious problem for patients with Spinal Cord Injury (SCI). However, best management for acute care of these fractures including whether surgical vs. nonsurgical treatment should be done and the factors that influence this decision is not known. This point is well appreciate by providers, who have identified to SCI QUERI that research to establish best practices for treatment of fractures in patients with a SCI should be a priority area. Surgical treatment for lower extremity fractures is done more frequently than previously reported, with approximately 10-37% of these fractures now managed surgically. However, the factors that influence the choice of surgical vs. nonsurgical fracture treatments and outcomes following these therapies have not been described. In this proposal we will utilize administrative databases, semi-structured questionnaires and case scenarios, and convene an outstanding advisory panel to review this information and existing literature to start the process of understanding best management for osteoporotic fractures in SCI. We will include both patients and providers (orthopedic surgeons and PM&R physicians) in the surveys. This proposal is of direct, immediate potential clinical benefit to the expanding population of patients with SCI. It will provide invaluable information for providers to better be able to care for these patients when they sustain an osteoporotic fracture.