Who is at risk for osteoporosis and fractures after SCI?

Author: SCIRE Community Team | Reviewer: B. Catharine Craven | Published: 11 October 2017 | Updated: 14 March 2019

Fragility fractures are very common after SCI. Individuals with these risk factors are more likely to experience a fracture after SCI. if you have more than 3 of the following fracture risk factors, please discuss them with your health care team.

Risk factors for fractures after SCI:

Silhouette of a fractured bone

Women

Have a motor complete SCI (AIS A or AIS B, no movement of the legs)

Paraplegia

SCI for more than 10 years

People less than 16 years of age at the time of the SCI onset

People who consume more than 5 servings of alcohol per day

Long term use of medications; specifically, anticonvulsants, heparin, or opioid medications

Low weight for one’s height (a Body Mass Index (BMI) of less than 19)

Low knee region bone mineral density

Prior fragility fracture

Family history of fracture