CAUSES AND MANAGEMENT OF BONEMASS REDUCTION AFTER STROKES
Abstract:
Introduction: There are multiple causes for the bone loss. In patients with stroke, due to
prolonged immobilization and chronic administration of certain drugs (anticoagulants, anticonvulsants,
glucocorticoids) the development of osteoporosis is favoured. Osteoporosis is the main bone metabolic
disease and is characterized by both quantitative and qualitative damage of the skeleton. Reduced bone
mineral density and bone microarchitecture damage bring about decreased bone strength, resulting in
increased fracture risk. Prevention and treatment of osteoporosis is an important goal in the
management of these patients and thus, it reduces the risk of major osteoporotic fractures. Hip fracture
causes an increased rate of mortality through thromboembolic and/or septic complications. The
association of medical rehabilitation methods and specific pharmacological treatment for osteoporosis
was proved beneficial.
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