AJDRAJNR - American Journal of Neuroradiology

Publication Preview: Published September 3, 2008

American Journal of Neuroradiology 2008;29:1816.

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REVIEW ARTICLE

Osteoporosis Primer for the Vertebroplasty Practitioner: Expanding the Focus Beyond Needles and Cement

A.E. Kearns and D.F. Kallmes

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.