Osteoporosis - Treatment
Non-operative treatmentNon-operative treatment aims at slowing and preventing the progression of osteoporosis by changing the metabolism of bone. A healthy diet and healthy lifestyle with exercise are important steps in treatment. Prevention of falls, “protective” devices such as walking sticks or crutches may be helpful for older people.
There are specific medications that inhibit or slow the further loss of bone mass (bisphosphonates, hormones, and others) and encourage new formation of bone. In general, taking calcium for the improvement of the bone quality can take months and years. This treatment should therefore be continued for a long period and patients should be followed on a regular basis. Calcium and Vitamin D are important in the medical treatment of osteoporosis. But, avoiding risks and maintaining a healthy balanced lifestyle are the most important factors.
Surgical treatmentIt is estimated that less than 10% of all osteoporotic spinal fractures need surgery.
The main goals of surgical treatment can be summarized in the following points:
2. Stabilization of the fractured vertebra
3. Reduction of any deformity
4. Removing any pressure on the spinal cord
5. Straightening of the spine
Stabilisation and pain relief can be treated with Kyphoplasty or Vertebroplasty which means placing a type of bone ‘’cement’’ inside the bone. If there is deformity of the spine, sometimes this can be repaired by larger surgical procedures using spinal instrumentation.