768 results match your criteria: "Osteoporosis and Spinal Cord Injury"

Objective: To evaluate the early clinical efficacy of robot-assisted percutaneous short-segment bone cement-augmented pedicle screw fixation in the treatment of stageⅡ-Ⅲ Kümmell disease.

Methods: The clinical data of 20 patients with stageⅡ-Ⅲ Kümmell's disease who underwent robot-assisted percutaneous bone cement-augmented pedicle screw fixation between June 2017 and January 2021 were retrospectively analyzed. There were 4 males and 16 females, aged from 60 to 81 years old with an average age of (69.

View Article and Find Full Text PDF

Purpose: Spinal cord injury (SCI) causes rapid bone loss and increases risk of fragility fractures in the lower extremities. The majority of individuals with SCI are men, and few studies have investigated sex as a biological variable in SCI-induced osteoporosis. This cross-sectional study aimed to quantify sex-specific differences in bone mineral following SCI.

View Article and Find Full Text PDF
Article Synopsis
  • The study involved analyzing surgical strategies and outcomes for patients with osteoporotic thoracolumbar fractures classified as OF 5 within a larger multicenter cohort of 518 patients.
  • Out of 19 patients assessed, different surgical methods were utilized, with no major surgical complications but a 45% occurrence of general postoperative complications reported.
  • Results indicated significant improvements in patients' functional outcomes and quality of life at an average follow-up of 20 weeks, highlighting surgical stabilization as an effective treatment despite the associated complication rate.
View Article and Find Full Text PDF

Ferroptosis is different from other forms of cell death, such as apoptosis, autophagy, pyroptosis, and cuproptosis, mainly involving iron metabolism and lipid peroxidation. Ferroptosis plays an important role in various disease, such as malignant tumors, neuron-degenerative diseases, and cardiovascular diseases, and has become the focus of current research. Both iron overload and lipid peroxide accumulation contribute to the occurrence, development, and treatment of musculoskeletal diseases, such as osteoporosis, osteoarthritis, osteosarcoma, intervertebral disc degeneration, and spinal cord injury.

View Article and Find Full Text PDF

The aim of this current study was to establish a metaphyseal femoral non-union model in osteoporotic rats by comparing a power tool versus a manual tool for fracture creation. Twelve adult female Sprague Dawley rats were ovariectomized (OVX) and received a special diet for 6 weeks. Biweekly pQCT measurements confirmed a significant reduction in the cancellous and total bone mineral density in OVX rats compared to control (CTRL) animals.

View Article and Find Full Text PDF

Increased risk of bone fracture due to bone mineral density (BMD) loss is a serious consequence of spinal cord injury (SCI). Traditionally, pharmaceutical approaches, such as bisphosphonates, have been prescribed to prevent bone loss. However, there is controversy in the literature regarding efficacy of these medications to mitigate the drastic bone loss following SCI.

View Article and Find Full Text PDF

Regional and temporal variation in bone loss during the first year following spinal cord injury.

Bone

June 2023

Research Centre for Musculoskeletal Science & Sports Medicine, Department of Life Sciences, Manchester Metropolitan University, Manchester, United Kingdom.

Osteoporosis is a consequence of spinal cord injury (SCI) that leads to fragility fractures. Visual assessment of bone scans suggests regional variation in bone loss, but this has not been objectively characterised. In addition, substantial inter-individual variation in bone loss following SCI has been reported but it is unclear how to identify fast bone losers.

View Article and Find Full Text PDF

The aim of the present study was to investigate the clinical feasibility and efficacy of the Wiltse approach and TTIF in elderly patients with single-segment thoracic tuberculosis (SSTTB) complicated with osteoporosis and neurological dysfunction. Between January 2017 and January 2019, 20 elderly patients underwent the Wiltse TTIF approach at a single hospital. The follow-up time of these patients was 37.

View Article and Find Full Text PDF
Article Synopsis
  • A study conducted in a UK spinal cord injury (SCI) center evaluated vitamin D levels in 196 patients admitted between January and December 2017, revealing a high prevalence of vitamin D deficiency.
  • The findings indicated that 24% of patients were vitamin D deficient, with 57% having levels below 50 nmol/l, and certain groups (males, those admitted in winter-spring, non-traumatic cases, and patients with low serum sodium) exhibited higher deficiency rates.
  • The study also established significant relationships between vitamin D levels and body mass index (BMI), cholesterol, and creatinine, highlighting the need for screening and effective supplementation strategies to combat chronic complications related to vitamin D deficiency in SCI patients.
View Article and Find Full Text PDF

Objective: Elasticity of the skeletal system in children and degenerative changes in adults are responsible for SCIWORA. The purpose of this study was to determine those degenerative changes on CT scan that predispose adults to SCIWORA, their correlation with MRI findings, clinical presentation and recovery.

Materials And Methods: This prospective study was conducted over a period of 1.

View Article and Find Full Text PDF

Background: The neuroprosthesis laparoscopic implantation technique for electric pelvic nerve stimulation was introduced to gynaecology over 15 years ago to treat intractable pelvic neuropathic pain. Following this first indication, other applications were developed, particularly in parapleology. The LION procedure developed to assist patients with paraplegia and common problems associated with inertia when confined to a wheelchair could find revolutionary applications in aging medicine and prevention.

View Article and Find Full Text PDF

Traumatic spinal cord injury (SCI) causes significant neurological deficits that adversely affect the quality of life of patients and caregivers. Patients with SCI present with the symptoms of weakness and loss of sensations in the limbs. Motor deficits may occur in the form of paraplegia, hemiplegia, or quadriplegia.

View Article and Find Full Text PDF

Novel evaluation indicators of MOG induced experimental autoimmune encephalomyelitis in C57BL/6J mice.

Immunobiology

March 2023

Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Orthopaedic Department of Tongji Hospital, School of Life Sciences and Technology, Tongji University, Shanghai 200092, China. Electronic address:

Multiple sclerosis (MS) is an autoimmune disease of the central nervous system (CNS), characterized by demyelinating neuropathy. Despite a long period of research on the immune mechanisms involved in CNS diseases, the etiology of MS remains unknown. MS may present with different clinical and pathological manifestations due to the involvement of different pathogenic processes, including balance and mobility disorders, psychiatric abnormalities, and intestinal dysfunction.

View Article and Find Full Text PDF

Recent years have witnessed an evolution of imaging technologies towards sophisticated approaches for visualising cells within their natural environment(s) and for investigating their interactions with other cells, with adjacent anatomical structures, and with implanted biomaterials. Resin cast etching (RCE) is an uncomplicated technique involving sequential acid etching and alkali digestion of resin embedded bone to observe the osteocyte lacuno-canalicular network using scanning electron microscopy. This review summarises the applicability of RCE to bone and the bone-implant interface.

View Article and Find Full Text PDF

Is calcium a link between inflammatory bone resorption and heart disease?

Elife

December 2022

Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch at Galveston, Galveston, United States.

Article Synopsis
  • Chronic inflammatory conditions like post-menopausal osteoporosis, rheumatoid arthritis, and spinal cord injuries are linked to higher risks of atherosclerotic heart disease.
  • Using anti-resorptive medications after hip fractures and during rheumatoid arthritis treatment has been shown to lower mortality rates, particularly from cardiovascular issues.
  • In children and adolescents, a mechanism helps prevent calcium from entering the bloodstream during inflammatory bone resorption, which may protect against cardiovascular problems; however, this mechanism is lost in adults, increasing their risk of heart disease.
View Article and Find Full Text PDF

Spinal cord injury (SCI) cause significant disability and impact the quality of life of those affected by it. The nutritional status and diet are fundamental to diminish the progression of complications; vitamins modulate the inflammatory response and oxidative stress, promote blood-spinal cord barrier preservation and the prompt recovery of homeostasis. A deep knowledge of the benefits achieved from vitamins in patients with SCI are summarized.

View Article and Find Full Text PDF
Article Synopsis
  • This study explored how selective injuries to sensory and motor nerves impact bone health and remodeling in rats.
  • The researchers used different surgical methods to inflict nerve injuries and observed various changes in bone structure and metabolism in the rats after eight weeks.
  • The findings revealed that different types of nerve injuries led to distinct levels of osteoporosis, affecting specific signaling pathways related to bone metabolism.
View Article and Find Full Text PDF

Unlabelled: Fracture risk prediction remains challenging in adults with spinal cord injury. Here, we compare the ability of CT- and DXA-derived indices to discriminate between those with and without prevalent osteoporotic fracture. Novel CT-derived indices may offer improved assessment of fragility fracture risk as well as improved monitoring of response to therapies.

View Article and Find Full Text PDF

Background: Ankylosing spondylitis (AS) is a seronegative arthropathy which results in pathological ossification of the ligaments, disc, endplates and apophyseal structures. Cervical spinal fractures are more common in patients with ankylosing spondylitis than in patients without ankylosing spondylitis due to coexistent osteoporosis and kyphotic alignment of the spine. The risk of fracture-dislocation and associated spinal cord injury is also more in these patients.

View Article and Find Full Text PDF

Bisphosphonates Alleviate Bone Loss in People with Acute Spinal Cord Injury:A Systematic Review and Meta-Analysis.

World Neurosurg

February 2023

Department of Orthopedics, Northern Jiangsu People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou, China. Electronic address:

Objective: Bone loss is not to be underestimated in people with acute spinal cord injury (SCI). Bisphosphonates can inhibit the bone resorption of osteoclast. To study whether the early application of bisphosphonates can alleviate bone loss after acute SCI, we included 7 randomized controlled trials for meta-analysis.

View Article and Find Full Text PDF
Article Synopsis
  • * The majority of patients were adults (91.3%), and the mean age was 53 years at the time of the procedure, with some presenting with significant conditions like osteoporosis and neurologic disorders.
  • * Over 80% of the revisions were performed to correct kyphosis, indicating a high prevalence of spinal deformity in this patient group.
View Article and Find Full Text PDF
Article Synopsis
  • Bone is a living material that can change its structure in response to different internal and external forces, helping it adapt to loads and repair damage.
  • The review examines how various external stimuli, like electromagnetic fields and mechanical vibration, can influence bone adaptation, alongside traditional loads from activities like exercise.
  • It addresses cases like spinal cord injury where reduced mechanical loading causes significant bone loss and outlines areas for future research in the field.
View Article and Find Full Text PDF

Acute Low Force Electrically Induced Exercise Modulates Post Prandial Glycemic Markers in People with Spinal Cord Injury.

J Funct Morphol Kinesiol

October 2022

Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa, Iowa City, IA 52242, USA.

Article Synopsis
  • * People with paralysis can't contract their muscles, leading to muscle atrophy, insulin resistance, and osteoporosis.
  • * A study found that low force electrically induced exercise (LFE) helped reduce insulin and glucose levels after meals in individuals with spinal cord injuries, suggesting it could be beneficial for managing metabolic health in this population.
View Article and Find Full Text PDF