Osteoporotic Spine Fracture Management

Osteoporosis is a disease of progressive bone loss associated with an increased risk of fractures. Osteoporosis causes loss of height and rounded upper back.

Osteoporotic Spine Fracture surgery
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Osteoporosis is a major health problem, contributing to 2 million fractures per year. According to the National Osteoporosis Foundation, the number of fractures due to osteoporosis may rise to over 3 million by the year 2025. One in two women and one in four men above 50 years will sustain osteoporotic spine fracture. Many of these have painful fractures of the hip, spine, wrist, arm, and leg, which often occur as a result of a fall. Even simple household tasks can result in fracture of the spine if the bones have been weakened by osteoporosis.

  • Aging – Everyone loses bone with increase in age. After 35 years of age, the body builds less new bone to replace the lost old bone.
  • Heredity
  • Nutrition – Poor nutrition, low calcium diet, and sedentary lifestyle
  • Smoking and Excessive Alcohol
  • Medications including use of steroids, and to other illnesses, including some thyroid problems

 

Prevention

  • Remove the tumor, or as much of it as possible
  • Stabilize the spine
  • Reduce pain
  • Improve function and quality of life


Surgical Procedures are

  • Adequate amounts of calcium and Vitamin D in your diet
  • Regular exercises/ physical activity.

 

National Academy of Sciences recommendations for daily intake of calcium:

Males and females 9 to 18 years: 1,300 mg per day

  • Women and men 19 to 50 years: 1,000 mg per day
  • Pregnant or nursing women up to age 18: 1,300 mg per day
  • Pregnant or nursing women 19 to 50 years: 1,000 mg per day
  • Women and men over 50: 1,200 mg per day

Treatment of osteoporosis fractures are of 2 parts 1st is fracture stabilisation 2nd is osteoporosis medical management.

Two common procedures are done for osteoporotic spine fracture stabilisation are vertebroplasty and kyphoplasty. In both these procedures cement is injected into the fractured bone through needle to help the fractured spine stable. It’s done through a stab incision(percutaneous procedures).

In kyphoplasty, we place a small balloon into the bone and inflates it to raise the spine up. Then we remove the balloon and puts cement into the space left behind.

Osteoporotic Spine Fracture Management
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The goal of  osteoporosis medicines is to help the bones stay as strong as possible.

  • Bisphosphonates treat osteoporosis by keeping the body from breaking down bone.
  • Teriperatide treat osteoporosis in postmenopausal women and men who are more likely to get severe fractures. It’s a man-made form of the parathyroid hormone  and is the first drug shown to make the body form new bone and increase bone mineral density.
  • Denosumab treats osteoporosis by interfering with the body’s bone-breakdown process.

Chennai Spine, Scoliosis & Disc Replacement Centre

Centre for Advanced Spinal Surgery

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