[Adequate treatment with bisphosphonates for senile osteoporosis].
The characteristics of senile osteoporosis are as follows. (1) Bone turnover is not always decrease in senile osteoporosis. (2) Senile patients have urgent fracture risk, such as aging, prevalent fracture(s), low bone mass, and increasing bone turnover. (3) Most of patients are insufficient of calcium and vitamin D. The important things of the treatment for senile osteoporosis with bisphosphonates are (1) to take calcium and vitamin D sufficiently to avoid the excess secretion of parathyroid hormone, (2) to pay attention gastro-esophageal reflux disease, especially the patients with spinal deformity, and (3) to adhere the patient with treatment.
Takada
Junichi
J
Department of Orthopedic Surgery, Chitose City Hospital.
Imoto
Kenshi
K
Iba
Kousuke
K
Yamashita
Toshihiko
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004164:Diphosphonates / Q000627:therapeutic use*; D006801:Humans; D008875:Middle Aged; D010024:Osteoporosis / Q000188:drug therapy* / Q000209:etiology; D012307:Risk Factors
D004164:Diphosphonates