Orthopaedic Issues in Osteoporosis

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (28 March 2024) | Viewed by 616

Special Issue Editor


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Guest Editor
Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan
Interests: osteoporosis; spine; fracture; scoliosis; low back pain
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Special Issue Information

Dear Colleagues,

Osteoporosis can lead to various orthopaedic issues, impacting overall musculoskeletal health and quality of life. Some common orthopaedic problems associated with osteoporosis include:

Fractures: The most significant issue associated with osteoporosis is an increased risk of fractures, particularly in the spine, hip, and wrist. These fractures can result from minor falls or even daily activities that put stress on the weakened bones.

Spinal deformities: Osteoporotic vertebral fractures can lead to a gradual collapse of the vertebrae. This deformity can lead to functional decline, chronic back pain, and appetite loss.

Hip fractures: Hip fractures are a major concern in individuals with osteoporosis, as they often require surgery and can lead to long-term disability, loss of independence, and increased mortality.

Wrist fractures: Osteoporotic fractures at the wrist are common and can limit hand function and mobility.

Chronic pain: Fractures and microfractures in osteoporotic bones can lead to ongoing pain and discomfort, affecting daily activities and overall quality of life.

Management of orthopaedic issues in osteoporosis involves treating existing fractures, preventing future fractures, managing pain, and optimizing bone health. This may include medications, physical therapy, lifestyle modifications, and, in some cases, surgery.

Dr. Shinji Takahashi
Guest Editor

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Keywords

  • osteoporosis
  • fracture
  • spine
  • hip
  • wrist
  • surgery
  • implant failure
  • spinal alignment
  • pain

Published Papers (1 paper)

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Research

12 pages, 1996 KiB  
Article
Survey on Actual Management of Osteoporosis with the Japanese Medical Data Vision Database in Elderly Patients Undergoing Spinal Fusion
by Kenta Yamamoto and Shunichi Tanaka
J. Clin. Med. 2024, 13(10), 2806; https://doi.org/10.3390/jcm13102806 - 10 May 2024
Viewed by 350
Abstract
Background: No actual data on spinal fusion and management of osteoporosis in Japan have been reported. The aim of the survey was to investigate pre- and post-operative management of osteoporosis, including testing and prescription, in elderly patients undergoing spinal fusion in Japan. Methods: [...] Read more.
Background: No actual data on spinal fusion and management of osteoporosis in Japan have been reported. The aim of the survey was to investigate pre- and post-operative management of osteoporosis, including testing and prescription, in elderly patients undergoing spinal fusion in Japan. Methods: Medical data on patients aged 65 years or older undergoing spinal fusion from April 2018 to March 2022 were extracted from the medical data vision (MDV) database containing health insurance claims data from Japanese acute care hospitals to investigate fusion area, pre- and post-operative osteoporosis tests (bone mineral density and osteoporosis markers), prescriptions of osteoporosis medications, and other information. Results: The analysis set consisted of 26,959 patients. Annual pre-operative BMD testing rates and osteoporosis markers testing rates were higher than the post-operative rates without significant annual changes. The post-operative prescription rate of osteoporosis medications throughout the target period was approximately two times higher than the preoperative rate. The drug with highest pre- and post-operative prescription rates was teriparatide (TPTD) followed by bisphosphonates, showing that the prescription rate of TPTD proportionally increased with the length of fusion area. Conclusions: It was suggested that patients aged 65 years or older undergoing spinal fusion might receive insufficient osteoporosis tests. Despite no trend in the testing rate with the length of fusion area, some tendency was observed in the selection of osteoporosis medications. In patients with osteoporosis undergoing spinal fusion, early examination, diagnosis, and therapeutic intervention may improve the prognoses, and solid testing and prescriptions are therefore expected. Full article
(This article belongs to the Special Issue Orthopaedic Issues in Osteoporosis)
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