Biomaterial Database

EMAS position statement: The management of postmenopausal women with vertebral osteoporotic fracture. 2014

Ioannis K Triantafyllopoulos, and Kalliopi Lambropoulou-Adamidou, and Cleopatra C Nacopoulos, and Nikolaos A Papaioannou, and Iuliana Ceausu, and Herman Depypere, and C Tamer Erel, and Faustino R Pérez-López, and Karin Schenck-Gustafsson, and Yvonne T van der Schouw, and Tommaso Simoncini, and Florence Tremollieres, and Margaret Rees, and Irene Lambrinoudaki, and

Laboratory of Research for the Musculoskeletal System (LRMS), School of Medicine, University of Athens, 10 Athinas Street, 14561 Kifissia, Greece. Electronic address: sportdoc@otenet.gr.

BACKGROUND Osteoporotic vertebral fractures are associated with significant morbidity, excess mortality as well as health and social service expenditure. Additionally, women with a prevalent osteoporotic vertebral fracture have a high risk of experiencing a further one within one year. It is therefore important for the physician to use a diagnostic and therapeutic algorithm for early detection and effective treatment of vertebral fractures. OBJECTIVE The aim of this position statement is to provide and critically appraise evidence on the management of women with a vertebral osteoporotic fracture. METHODS Literature review and consensus of expert opinion. CONCLUSIONS The management of women with osteoporotic vertebral fractures includes measures to reduce pain providing early mobility, to support the affected spine ensuring fracture healing, as well as starting treatment for osteoporosis itself. Any other underlying pathology should be sought and treated. Early detection and treatment is essential as there is an increased risk of further fractures in patients with vertebral fractures. Treatment will depend on the underlying causes of bone loss, efficacy in any particular situation, cost and patient preference.

UI	MeSH Term	Description	Entries
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013131	Spine	The spinal or vertebral column.	Spinal Column,Vertebrae,Vertebral Column,Vertebra,Column, Spinal,Column, Vertebral,Columns, Spinal,Columns, Vertebral,Spinal Columns,Vertebral Columns
D015663	Osteoporosis, Postmenopausal	Metabolic disorder associated with fractures of the femoral neck, vertebrae, and distal forearm. It occurs commonly in women within 15-20 years after menopause, and is caused by factors associated with menopause including estrogen deficiency.	Bone Loss, Perimenopausal,Bone Loss, Postmenopausal,Perimenopausal Bone Loss,Postmenopausal Bone Loss,Postmenopausal Osteoporosis,Osteoporosis, Post-Menopausal,Bone Losses, Perimenopausal,Bone Losses, Postmenopausal,Osteoporoses, Post-Menopausal,Osteoporoses, Postmenopausal,Osteoporosis, Post Menopausal,Perimenopausal Bone Losses,Post-Menopausal Osteoporoses,Post-Menopausal Osteoporosis,Postmenopausal Bone Losses,Postmenopausal Osteoporoses
D016103	Spinal Fractures	Broken bones in the vertebral column.	Hangman Fracture,Hangman's Fracture,Fracture, Hangman,Fracture, Hangman's,Fracture, Spinal,Fractures, Spinal,Hangmans Fracture,Spinal Fracture
D016387	Women's Health	The concept covering the physical and mental conditions of women.	Woman's Health,Womens Health,Health, Woman's,Health, Women's,Health, Womens
D017698	Postmenopause	The physiological period following the MENOPAUSE, the permanent cessation of the menstrual life.	Post-Menopause,Post-menopausal Period,Postmenopausal Period,Period, Post-menopausal,Period, Postmenopausal,Post Menopause,Post menopausal Period,Post-Menopauses
D058866	Osteoporotic Fractures	Breaks in bones resulting from low bone mass and microarchitectural deterioration characteristic of OSTEOPOROSIS.	Fracture, Osteoporotic,Fractures, Osteoporotic,Osteoporotic Fracture
D019468	Disease Management	A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)	Disease Managements,Management, Disease,Managements, Disease
D032921	Consensus	General agreement or collective opinion; the judgment arrived at by most of those concerned.	Consensus Development,Development, Consensus