Osteoporosis
The bone mass of the human skeleton will reach its peak between the ages of 20 and 30, and then the bone mass will gradually decrease. After menopause, due to the decrease of hormones in women, the rate of bone loss will accelerate. If there is too much bone loss, many pores are formed in the originally dense bone, which becomes hollow and loose, making the bone brittle and weak, which is called osteoporosis.
Osteoblasts and osteoblasts are two important cells in the skeletal system, which are jointly responsible for bone metabolism and repair.
Osteocytes are a type of macrophage that are primarily responsible for breaking down and absorbing old, damaged or unwanted parts of bone tissue. When a bone is stressed or damaged, osteolytic cells are activated to engulf and digest unwanted parts of the bone, releasing acids and enzymes to digest and break down the bone tissue.
Osteoblasts are cells responsible for the synthesis of new bone tissue. When bone tissue is damaged or stressed, osteoblasts are activated to form a new bone matrix on the bone surface by secreting collagen and other matrix molecules. Over time, this matrix hardens and forms mature bone tissue.
The balance between osteoclasts and osteoblasts maintains the health and stability of bone tissue. As we age, osteoclasts will slowly multiprocess bone cells, which will lead to the occurrence of osteoporosis.
Vertebral Compression Fracture
Vertebral compression fractures caused by osteoporosis may lead to fractures of adjacent vertebral bodies after treatment of a single vertebral body due to poor overall bone density of the spine.
Therefore, after my evaluation, I decided that in addition to the vertebral body with compression fracture, the adjacent vertebral bodies should also be treated with vertebroplasty for preventive treatment. The advantage of this is that in addition to effectively preventing the recurrence of vertebral compression fractures, it can also reduce the number of operations and improve the quality of life of patients.
Vertebral Compression Fracture Treatment Case
60-year-old suffers severe back pain after car accident, unable to get out of bed and walk normally diagnosed as Vertebral Compression Fracture
According to the traditional standard treatment, general anesthesia is required and the spine is fixed with nails
If the broken bones are not handled properly, it may cause hunchback and back pain for a lifetime
In this case, the minimally invasive treatment was adopted, and the bone was propped apart by EVA brackets, followed by bone cement.
Smoothly propped up the straddled bones, from 10 degrees hunchback to no hunchback
No intubation,Take a nap, two small wounds, go back to the ward 15 minutes after recovery and go down immediately
