Optimal Management of Osteoporosis in the Spinal Cord (Injury) Population

Caroline Poku; Julie Fedorko; Frances M Weaver

doi:10.1016/j.ecl.2024.08.004

Optimal Management of Osteoporosis in the Spinal Cord (Injury) Population

Endocrinol Metab Clin North Am. 2024 Dec;53(4):585-596. doi: 10.1016/j.ecl.2024.08.004. Epub 2024 Sep 25.

Authors

Caroline Poku¹, Julie Fedorko², Frances M Weaver³

Affiliations

¹ Division of Endocrinology and Metabolism, Edward Hines Jr. VA Hospital, Hines, IL 60141, USA; Department of Medicine, Loyola University Medical Center, Maywood, IL 60153, USA.
² Loyola University Health System, Maywood, IL 60153, USA.
³ Department of Public Health Sciences, Loyola University, Maywood, IL 60153, USA; Edward Hines Jr. VA Hospital, Hines, IL 60141, USA. Electronic address: fweaver@luc.edu.

PMID: 39448138
DOI: 10.1016/j.ecl.2024.08.004

Abstract

Spinal cord injury (SCI) leads to significant bone loss resulting in osteoporosis and an increased risk of fractures below the level of injury. It is imperative to screen for osteoporosis in all individuals with SCI starting immediately after the acute injury. Although data are limited, clinicians are encouraged to discuss preventative treatment in the acute SCI period and to treat osteoporosis when diagnosed.

Keywords: Fracture risk; Osteoporosis; Spinal cord injury; Sublesional osteoporosis.

Publication types

Review

MeSH terms

Bone Density Conservation Agents / therapeutic use
Humans
Osteoporosis* / etiology
Osteoporosis* / prevention & control
Osteoporosis* / therapy
Spinal Cord Injuries* / complications
Spinal Cord Injuries* / therapy

Substances

Bone Density Conservation Agents