Premium
Pregnancy‐associated osteoporosis presenting severe vertebral fractures
Author(s) -
Ozturk Cihat,
Atamaz Funda Calis,
Akkurt Halil,
Akkoc Yesim
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12157
Subject(s) - medicine , osteoporosis , pregnancy , bone mineral , lumbar , vitamin d and neurology , range of motion , spinal fracture , lumbar vertebrae , surgery , physical therapy , genetics , biology
The syndrome of pregnancy‐associated osteoporosis ( PAO ) is a rare disorder which occurs either in late pregnancy or early post‐partum period leading to fragility fracture(s), most commonly in the vertebral bodies. We presented two cases with PAO who had compression fractures at multiple levels involving five vertebrae in one case and 10 vertebrae in the other. Their spinal bone mineral density values were below −2.5 standard deviations. Anti‐osteoporotic treatments with nasal calcitonin 400 IU /day, vitamin D 300.000 IU single dose, calcium 1000 mg/day, vitamin D 880 IU /day were initiated. In one case, kyphoplasty was performed by a spinal surgeon. In addition to a thoracolumbosacral orthosis, a rehabilitation program including muscle strengthening, range of motion, relaxation and weight‐bearing exercises was started for both cases. These cases emphasize that all pregnant women with complaints of back/lumbar pain should be carefully evaluated.