Postmenopausal osteoporosis

被引:192
作者
Rosen, CJ [1 ]
机构
[1] St Joseph Hosp, Maine Ctr Osteoporosis Res & Educ, Bangor, ME 04401 USA
关键词
D O I
10.1056/NEJMcp043801
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 63-year-old woman presents with a history of acute low back pain. She had menopause at 44 years of age but never received postmenopausal hormone-replacement therapy. She reports a history of a Colles' fracture at the age of 60 years. Her mother sustained a hip fracture at 70 years of age. Lumbar-spine films reveal a new vertebral fracture. Dual-energy x-ray absorptiometry of the hip shows a bone mineral density T score of -1.3. How should her case be managed? Copyright © 2005 Massachusetts Medical Society.
引用
收藏
页码:595 / 603
页数:9
相关论文
共 58 条
[1]  
[Anonymous], N ENGL J MED
[2]  
[Anonymous], ENDOCR PRACT
[3]   The management of osteoporosis following hip fracture: Have we improved our care? [J].
Bahl, S ;
Coates, PS ;
Greenspan, SL .
OSTEOPOROSIS INTERNATIONAL, 2003, 14 (11) :884-888
[4]   Load shift of the intervertebral disc after a vertebroplasty: a finite-element study [J].
Baroud, G ;
Nemes, J ;
Heini, P ;
Steffen, T .
EUROPEAN SPINE JOURNAL, 2003, 12 (04) :421-426
[5]   Effect of vitamin D on falls - A meta-analysis [J].
Bischoff-Ferrari, HA ;
Dawson-Hughes, B ;
Willett, WC ;
Staehelin, HB ;
Bazemore, MG ;
Zee, RY ;
Wong, JB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (16) :1999-2006
[6]   The effects of parathyroid hormone and alendronate alone or in combination in postmenopausal osteoporosis [J].
Black, DM ;
Greenspan, SL ;
Ensrud, KE ;
Palermo, L ;
McGowan, JA ;
Lang, TF ;
Garnero, P ;
Bouxsein, ML ;
Bilezikian, JP ;
Rosen, CJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (13) :1207-1215
[7]   One year of alendronate after one year of parathyroid hormone (1-84) for osteoporosis [J].
Black, DM ;
Bilezikian, JP ;
Ensrud, KE ;
Greenspan, SL ;
Palermo, L ;
Hue, T ;
Lang, TF ;
McGowan, JA ;
Rosen, CJ .
NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (06) :555-565
[8]   Randomised trial of effect of alendronate on risk of fracture in women with existing vertebral fractures [J].
Black, DM ;
Cummings, SR ;
Karpf, DB ;
Cauley, JA ;
Thompson, DE ;
Nevitt, MC ;
Bauer, DC ;
Genant, HK ;
Haskell, WL ;
Marcus, R ;
Ott, SM ;
Torner, JC ;
Quandt, SA ;
Reiss, TF ;
Ensrud, KE .
LANCET, 1996, 348 (9041) :1535-1541
[9]   VITAMIN-D(3) AND CALCIUM TO PREVENT HIP-FRACTURES IN ELDERLY WOMEN [J].
CHAPUY, MC ;
ARLOT, ME ;
DUBOEUF, F ;
BRUN, J ;
CROUZET, B ;
ARNAUD, S ;
DELMAS, PD ;
MEUNIER, PJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (23) :1637-1642
[10]  
Chesnut C, 2001, ADV EXP MED BIOL, V496, P95