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The overall architecture of bone is divided
into cancellous bone (also referred to as
trabecular bone) and cortical bone. Cortical
bone forms a compact shell around the more
delicate cancellous bone, which is formed
by an interconnective latticework of trabeculae.
In general, the peripheral skeleton is composed
primarily of cortical bone, while the axial
skeleton is composed of both cancellous and
cortical bone. Because the surface area of
cancellous bone far exceeds that of cortical
bone, and is more metabolically active, cancellous
bone is more severely affected if bone remodeling
becomes uncoupled. During the accelerated
period of bone loss immediately after menopause,
cancellous bone loss increases 3-fold, while
rates of cortical bone loss are slower. |