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[Artículo traducido] Abordaje del adulto mayor con fractura vertebral por fragilidad ósea.
Hormigo-Sánchez, A I; Neira-Álvarez, M; Pareja-Sierra, T.
Afiliación
  • Hormigo-Sánchez AI; Geriatría, Hospital Universitario Fundación Jiménez Diaz, Madrid, Spain. Electronic address: anabelhormigo@yahoo.es.
  • Neira-Álvarez M; Geriatría, Hospital Universitario Infanta Leonor, Madrid, Spain.
  • Pareja-Sierra T; Geriatría, Hospital Universitario de Guadalajara, Guadalajara, Spain.
Article en En, Es | MEDLINE | ID: mdl-39128694
ABSTRACT
Osteoporosis is a metabolic and systemic disease characterized by alterations at the level of bone tissue with loss of bone mineral density, changes in microarchitecture, mineralization and remodeling that determine greater bone fragility and risk of fracture.Falls in the elderly are a risk factor closely related to fragility fractures and numerous studies demonstrate this relationship.Vertebral fractures are a major cause of morbidity and mortality. The epidemiology differs from osteoporotic fractures at other skeletal sites, as only one-third are clinically recognized. In the elderly, the approach to osteoporotic vertebral fracture involves comprehensive evaluation of the patient since it is both a cause and a consequence of multiple geriatric syndromes. This fracture, in its acute phase and subsequently, can lead to destabilization of other organs and systems of the elderly, medical complications at different levels, functional deterioration, dependence, and even the need for institutionalization.Therefore, multiple assessment of patients with vertebral fractures is necessary, addressing not only the history and risk factors of osteoporosis, but also those factors that lead to falls, as well as a comprehensive geriatric assessment and the complications closely associated with it.In this chapter we address each of these aspects that are necessary in the individual and multidimensional approach to the elderly patient with vertebral fracture due to bone fragility.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En / Es Revista: Rev Esp Cir Ortop Traumatol Año: 2024 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En / Es Revista: Rev Esp Cir Ortop Traumatol Año: 2024 Tipo del documento: Article