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Osteoporosis is a condition that affects about 1 in 10 postmenopausal women. Probably due as in almost all conditions in gene. There are of course several factors that enhance the development of the condition, such as problems of the thyroid gland, kidney problems, tranquilizers, failure to exercise, not eating dairy, pregnancies, breast-feeding, failure to exercise, use of cortisone and many others .

 

 

 

 

 

osteoporwtiki-1Normal bone ............................Osteoporotic bone

 

 

In Osteoporosis we have a progressive reduction of bone resistance, especially cancellous bone, with a reduction in bone trabeculae and a "vacating" of the bone.

 

 

 

 

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In the vertebrae bodies, which are predominantly cancellous bone, this condition is definitive for the static ability of the spine. The reduction of the bone trabeculae and the resulting increase of hollows weaken the vertebra bodies, which begin to form microscopic fractures (caving), and this causes sudden intense pain, and the body cannot bear the pressures of the body weight.

 

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The continuation of axial compression as well as the anterior torques of bending forces that are exerted on the vertebrae bodies leads to a sphenoid deformation. If no action is taken, as far as the increase of the compression is concerned, this phenomenon is continued in another vertebra, resulting in continuously greater kyphosis and entering in a vicious circle, where large compressions leads to greater kyphosis, which in turn increases compression forces.

 

It is an absolutely necessity not to leave an osteoporotic kyphosis of incipient type to its fate and allow the patient to enter a vicious circle which is very dangerous for the increase of the kyphosis.

The example below is characteristic.

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A female patient aged 67 with established osteoporosis, of which she had no knowledge, felt intense pain in the back, which continued for some time. An x-ray she did after 1 year showed a small sphenoid deformation in T9 and 66° kyphosis. Unfortunately, her physician suggested nothing and she continued without treatment. After 2 years and because of intense pains she had another x-ray where further sphenoid deformation was ascertained in T9, but also sphenoid deformation in T8 and T10, and the kyphosis angle had increased to 84° The patient consulted another physician who gave her a treatment with bisphosphonates, but no support. One and a half years later, it was ascertained by x-ray that the body of T9 had subdued to 20% of its total size and that T10 and T8 had further deteriorated. The angle had increased to 94°. The patient did not want to go ahead with kyphoplasty surgery and because the danger of deterioration was great, she was fitted with a special SPONDYLOS support brace.

With the application of a brace and a better body posture, we have a reduction to elimination of pain in all cases.

 

Therapy

 

The treatment of osteoporotic kyphosis is minimally surgical and conservative.

1 – Vertebroplasty - Kyphoplasty

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Provided the patient is operable and consents to vertebroplasty, this is the best method for immediate reduction of the sharp pain and partial correction of the kyphosis. Surgery is closed and transcutaneous; trocars are inserted under local anesthetic with 2 balloons, which are deployed via a system of contrast material, thus partially restoring the vertebral body. Next the balloons are removed and acrylic cement is inserted into the cavity, filling the gap. Surgery lasts a few minutes and the patient can be discharged from the hospital immediately.

 

 

 

 

2- Special SPONDYLOS support brace for osteoporotic kyphosis.

 

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The role of the supportive brace is the maintenance of the kyphotic angle or its partial restoration.

It must be worn immediately after ascertaining an osteoporotic fracture, and it is independent of the pharmaceutical treatment.

 

  

 

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3 – Exercises

 

These are specialized exercises for toning the muscles of the extension mechanism. The exercises are adapted to the possibilities of the patient and the severity of the condition, and they can be done at any age.