OPTIMIZING THE MANAGEMENT OF OSTEOPOROSIS
Abstract:
Osteoporosis is a systemic disease, characterized by reduced bone mass and abnormal bone
microarchitecture. There are several risk factors, one of them: positive family history emphasizes the
importance of genetic factors in the pathogenesis of the disease. We report a case with severe
osteoporosis and important comorbidities. Anamnesis, clinical and paraclinical examination
revealed four risk factors: positive family history, osteoporosis of the hand with wrist fracture, decrease
in height of more than 3 cm after 50 years of age, early menopause and a spine T score of -4.1, all these
pleading for a severe, neglected postmenopausal osteoporosis, complicated with fractures. FRAX
revealed 15% risk to have a major fracture in the next 10 years. The objectives of the treatment were
pain relief, reducing fracture risk, increasing bone mineral density, joint stability and muscle tone.
Prevention, complex rehabilitation performed by a multidisciplinary team and personalized therapy may
be a promising approach.
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