Journals / Türk Osteoporoz Dergisi / 2016 / Cilt: 22 - Sayı: 3

A Rare Cause of Back Pain after Pregnancy: Postpartum Osteoporosis and Treatment Approach

Gebelik Sonrası Bel Ağrısının Nadir Bir Sebebi: Postpartum Osteoporoz ve Tedavi

Pages
153–155
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report, it was aimed to highlight the diagnosis and treatment approaches of PAO in a patient with back pain during postpartum period.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Pregnancy associated osteoporosis (PAO) is a rare disease characterized by multiple vertebral compression fractures, limitation of movement and severe back pain.
📊
Key Findings & Data:A positive family history of PAO, decreased body mass index, sedentary life style, smoking, malnutrition and low calcium intake are among the risk factors of this disease.
💡
Conclusion & Impact:In this case report, it was aimed to highlight the diagnosis and treatment approaches of PAO in a patient with back pain during postpartum period.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Pregnancy associated osteoporosis (PAO) is a rare disease characterized by multiple vertebral compression fractures, limitation of movement and severe back pain. A positive family history of PAO, decreased body mass index, sedentary life style, smoking, malnutrition and low calcium intake are among the risk factors of this disease. PAO should be considered in patients with back pain during pregnancy and postpartum period. As a specified therapy option is lack for PAO, discontinuation of lactation and the supplementation of calcium and vitamin D are the main steps of the treatment in patients who are planning to become pregnant in the future. The current data show that bisphosphonates should be avoided and teriparatide may be a treatment option in patients who are planning to become pregnant. In this case report, it was aimed to highlight the diagnosis and treatment approaches of PAO in a patient with back pain during postpartum period.

Özet

Gebelik ile ilişkili osteoporoz (GİO) nadir görülen fakat multipl vertebral kompresyon kırıkları ve hareket kısıtlılığı ile şiddetli bel ağrısına yol açabilen klinik bir durumdur. Birinci derece yakınlarda GİO, düşük vücut kitle indeksi, sedanter yaşam, sigara içme, yetersiz beslenme ve kalsiyum alımı risk faktörleri olarak sayılabilir. Gebelikte veya postpartum dönemde sırt ve bel ağrısı ile gelen hastalarda GİO'nun ayırıcı tanıda düşünülmesi ve etkin tedavisi yeni kırık ve deformite gelişimini önlemede büyük önem taşımaktadır. Belirlenmiş bir tedavi protokolü bulunmayan GİO için özellikle tekrar gebelik planlayan hastalarda, emzirmesinin kesilmesi, kalsiyum ve D vitamini tedavinin ana basamaklarıdır. Mevcut veriler gelecekte gebelik planlayan hastalar için bifosfonatlardan kaçınılması ve ek tedaviye gereksinim varsa teriparatidin öncelikli olarak düşünülmesi gerektiğini göstermektedir. Bu olgu sunumunun amacı, gebelik sonrası bel ağrısı ile başvuran bir olguda postpartum osteoporoz tanısına dikkat çekmek ve güncel bilgiler ışığında tedavi yaklaşımını gözden geçirmektir.

🔖

Cite This Article

KURTULUŞ, D., TAŞAN, E., İLHAN, M., YASİN, İ. Ç., KARAMAN, Ö. (2022). A Rare Cause of Back Pain after Pregnancy: Postpartum Osteoporosis and Treatment Approach. Türk Osteoporoz Dergisi, Cilt: 22 - Sayı: 3, 153–155. https://ajindex.com/articles/639757

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Stumpf UC, Kurth AA, Windolf J, Fassbender WJ. Pregnancy- associated osteoporosis: an underestimated and underdiagnosed severe disease. A review of two cases in short- and long-term follow-up. Adv Med Sci 2007;52:94-7.
  2. O'Sullivan SM, Grey AB, Singh R, Reid IR. Bisphosphonates in pregnancy and lactation-associated osteoporosis. Osteoporos Int 2006;17:1008-12.
  3. Cengiz D, Gürçay E, Ecerkale Ö, Çevikol A, Hastürk A, Çakcı A. Pospartum Spinal Osteoporoz: Bel Ağrısında Sıra Dışı Bir Neden. Türk Osteoporoz Dergisi 2014;20:26-8.
  4. Tosun A, Fidan F, Alkan B, Eroğlu E, Ardıçoğlu Ö, Tosun Ö. Vertebral Fractures Due to Postpartum Spinal Osteoporosis: an Unusual Cause of Low Back Pain. Turkish Journal Of Osteoporosis 2011;17:21-3.
  5. Dunne F, Walters B, Marshall T, Heath DA. Pregnancy associated osteoporosis. Clin Endocrinol (Oxf) 1993;39:487-90.
  6. Sowers MF, Hollis BW, Shapiro B, Randolph J, Janney CA, Zhang D, et al. Elevated parathyroid hormone-related peptide associated with lactation and bone density loss. JAMA 1996;276:549-54. Eisman J. Relevance of pregnancy and lactation to osteoporosis? Lancet 1998;352:504-5.
  7. Laskey MA, Prentice A, Hanratty LA, Jarjou LM, Dibba B, Beavan SR, et al. Bone changes after 3 mo of lactation: influence of calcium intake, breast-milk output, and vitamin D-receptor genotype. Am J Clin Nutr 1998;67:685-92.
  8. Phillips AJ, Ostlere SJ, Smith R. Pregnancy-associated osteoporosis: does the skeleton recover? Osteoporos Int 2000;11:449-54.
  9. Nordin BE, Roper A. Post-pregnancy osteoporosis; a syndrome? Lancet 1955;268:431-4.
  10. Losada I, Sartori L, Di Gianantonio E, Zen M, Clementi M, Doria A. Bisphosphonates in patients with autoimmune rheumatic diseases: Can they be used in women of childbearing age? Autoimmun Rev 2010;9:547-52. Jackson WP. Osteoporosis of unknown cause in younger people: idiopathic osteoporosis. J Bone Joint Surg Br 1958;40-B:420-41.
  11. Quattrocchi E, Kourlas H. Teriparatide: a review. Clin Ther 2004;26:841-54.
  12. Choe EY, Song JE, Park KH, Seok H, Lee EJ, Lim SK, et al. Effect of teriparatide on pregnancy and lactation-associated osteoporosis with multiple vertebral fractures. J Bone Miner Metab 2012;30:596-601.