American Journal of Neuroradiology 2008;29:1816.
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American Journal of Neuroradiology
DOI 10.3174/ajnr.A1176
REVIEW ARTICLE
Osteoporosis Primer for the Vertebroplasty Practitioner: Expanding the Focus Beyond Needles and Cement
From the Division of Endocrinology, Diabetes and Metabolism (A.E.K.), and Department of Radiology (D.F.K.), Mayo Clinic, Rochester, Minn.
Please address correspondence to David F. Kallmes, MD, Department of Radiology, Mayo Clinic, 200 1st St SW, Rochester, MN 55905; e-mail: kallmes.david{at}mayo.edu
SUMMARY: Osteoporosis is a common cause of vertebral compression fractures. Although vertebroplasty is used to treat the pain, the risk of additional compression fractures is very high in these patients. Adequate evaluation and management of the underlying osteoporosis is critical to reducing the risk of subsequent fractures. Such an evaluation involves understanding the underlying physiology of osteoporosis and the role of calcium, vitamin D, prescription medication, and lifestyle changes. This brief review is intended to familiarize neuroradiologists with these aspects so they can advise patients about optimizing fracture risk reduction.