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Title:
The use of intravenous bisphosphonate therapy to treat vertebral fractures due to osteoporosis among boys with Duchenne muscular dystrophy | Osteoporosis International
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Summary The impact of intravenous bisphosphonate treatment to treat painful vertebral fractures in boys with DMD has not been documented. In this retrospective observational study of seven boys, 2 years of intravenous bisphosphonate therapy was associated with back pain improvement and stabilization or increases in the height ratios of fractured vertebrae. Introduction Boys with Duchenne muscular dystrophy (DMD) are at risk for vertebral fractures. We studied the impact of intravenous bisphosphonate therapy for the treatment of painful vertebral fractures in DMD. Methods This was a retrospective observational study in seven boys with DMD (median 11.6 years, range 8.5 to 14.3) treated with intravenous pamidronate (9 mg/kg/year) or zoledronic acid (0.1 mg/kg/year) for painful vertebral fractures. Results At baseline, 27 vertebral fractures were evident in the seven boys. After 2 years of bisphosphonate therapy, 17 of the fractures had an increase in the most severely affected vertebral height ratio, 10 vertebrae stabilized, and none showed a decrease in height ratio. Back pain resolved completely (Nā=ā3) or improved (Nā=ā4). The median change in lumbar spine volumetric bone mineral density Z-score was 0.5 standard deviations (interquartile range, ā0.3 to 1.7). Two boys had three incident vertebral fractures in previously normal vertebral bodies that developed over the observation period. There was a decline in the trabecular bone formation rate on trans-iliac bone biopsy but no evidence of osteomalacia. First-dose side effects included fever and malaise (Nā=ā4), hypocalcemia (Nā=ā2), and vomiting (Nā=ā1); there were no side effects with subsequent infusions. Conclusions Intravenous bisphosphonate therapy was associated with improvements in back pain and stabilization to improvement in vertebral height ratios of previously fractured vertebral bodies. At the same time, such therapy does not appear to completely prevent the development of new vertebral fractures in this context.
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article, google, scholar, pubmed, bone, cas, vertebral, fractures, muscular, dystrophy, duchenne, children, osteoporosis, boys, density, res, treatment, intravenous, therapy, rauch, mineral, study, pamidronate, miner, bisphosphonate, osteogenesis, imperfecta, glorieux, research, ward, effects, clin, child, privacy, cookies, content, data, dmd, years, access, bisphosphonates, arch, med, severe, pediatric, publish, search, treat, sbrocchi, impact,
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month download article/chapter iliac bone histomorphometry controlled dose-ranging study trans-iliac bone biopsy bone mineral density corticosteroid-induced osteoporosis randomized placebo-controlled study age-specific reference curves full article pdf adult bone density health statistics version duchenne muscular dystrophy privacy choices/manage cookies related subjects duchennes muscular dystrophy long-term effects intravenous zoledronic acid severe osteogenesis imperfecta painful vertebral fractures bone miner res de ridder ma incident vertebral fractures prevalent vertebral fractures low bone mass multinational bone study decreased bone turnover reduces bone turnover vertebral compression fractures improves skeletal architecture vertebral fracture assessment vertebral fracture diagnosis advanced vertebral fracture garn sm glorieux fh vertebral height ratios european economic area scope submit manuscript retrospective observational study gordon ke biggar wd grummer-strawn lm dietary reference intakes stanford university press paradoxical bilateral asymmetry body composition measured chesnut ch 3rd bianchi ml bisset gs 3rd pamidronate improves pain chronic neurological conditions
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headline:The use of intravenous bisphosphonate therapy to treat vertebral fractures due to osteoporosis among boys with Duchenne muscular dystrophy
description:The impact of intravenous bisphosphonate treatment to treat painful vertebral fractures in boys with DMD has not been documented. In this retrospective observational study of seven boys, 2Ā years of intravenous bisphosphonate therapy was associated with back pain improvement and stabilization or increases in the height ratios of fractured vertebrae. Boys with Duchenne muscular dystrophy (DMD) are at risk for vertebral fractures. We studied the impact of intravenous bisphosphonate therapy for the treatment of painful vertebral fractures in DMD. This was a retrospective observational study in seven boys with DMD (median 11.6Ā years, range 8.5 to 14.3) treated with intravenous pamidronate (9Ā mg/kg/year) or zoledronic acid (0.1Ā mg/kg/year) for painful vertebral fractures. At baseline, 27 vertebral fractures were evident in the seven boys. After 2Ā years of bisphosphonate therapy, 17 of the fractures had an increase in the most severely affected vertebral height ratio, 10 vertebrae stabilized, and none showed a decrease in height ratio. Back pain resolved completely (Nā=ā3) or improved (Nā=ā4). The median change in lumbar spine volumetric bone mineral density Z-score was 0.5 standard deviations (interquartile range, ā0.3 to 1.7). Two boys had three incident vertebral fractures in previously normal vertebral bodies that developed over the observation period. There was a decline in the trabecular bone formation rate on trans-iliac bone biopsy but no evidence of osteomalacia. First-dose side effects included fever and malaise (Nā=ā4), hypocalcemia (Nā=ā2), and vomiting (Nā=ā1); there were no side effects with subsequent infusions. Intravenous bisphosphonate therapy was associated with improvements in back pain and stabilization to improvement in vertebral height ratios of previously fractured vertebral bodies. At the same time, such therapy does not appear to completely prevent the development of new vertebral fractures in this context.
datePublished:2012-02-02T00:00:00Z
dateModified:2012-02-02T00:00:00Z
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keywords:
Bisphosphonates
Bone histomorphometry
Bone mineral density
Clinical/pediatrics
Corticosteroid osteoporosis
Vertebral fractures
Orthopedics
Endocrinology
Rheumatology
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headline:The use of intravenous bisphosphonate therapy to treat vertebral fractures due to osteoporosis among boys with Duchenne muscular dystrophy
description:The impact of intravenous bisphosphonate treatment to treat painful vertebral fractures in boys with DMD has not been documented. In this retrospective observational study of seven boys, 2Ā years of intravenous bisphosphonate therapy was associated with back pain improvement and stabilization or increases in the height ratios of fractured vertebrae. Boys with Duchenne muscular dystrophy (DMD) are at risk for vertebral fractures. We studied the impact of intravenous bisphosphonate therapy for the treatment of painful vertebral fractures in DMD. This was a retrospective observational study in seven boys with DMD (median 11.6Ā years, range 8.5 to 14.3) treated with intravenous pamidronate (9Ā mg/kg/year) or zoledronic acid (0.1Ā mg/kg/year) for painful vertebral fractures. At baseline, 27 vertebral fractures were evident in the seven boys. After 2Ā years of bisphosphonate therapy, 17 of the fractures had an increase in the most severely affected vertebral height ratio, 10 vertebrae stabilized, and none showed a decrease in height ratio. Back pain resolved completely (Nā=ā3) or improved (Nā=ā4). The median change in lumbar spine volumetric bone mineral density Z-score was 0.5 standard deviations (interquartile range, ā0.3 to 1.7). Two boys had three incident vertebral fractures in previously normal vertebral bodies that developed over the observation period. There was a decline in the trabecular bone formation rate on trans-iliac bone biopsy but no evidence of osteomalacia. First-dose side effects included fever and malaise (Nā=ā4), hypocalcemia (Nā=ā2), and vomiting (Nā=ā1); there were no side effects with subsequent infusions. Intravenous bisphosphonate therapy was associated with improvements in back pain and stabilization to improvement in vertebral height ratios of previously fractured vertebral bodies. At the same time, such therapy does not appear to completely prevent the development of new vertebral fractures in this context.
datePublished:2012-02-02T00:00:00Z
dateModified:2012-02-02T00:00:00Z
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keywords:
Bisphosphonates
Bone histomorphometry
Bone mineral density
Clinical/pediatrics
Corticosteroid osteoporosis
Vertebral fractures
Orthopedics
Endocrinology
Rheumatology
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