 Decreased quality of life is more pronounced
with multiple vertebral fractures. When considering
the potential risk for osteoporosis, identifiable risk
factors should be assessed, as well
as a comprehensive medical examination (including
measurement of height). In addition to back
pain, other clinical symptoms of vertebral fractures
include loss of spine mobility, loss of height,
and diminished function. These symptoms are
associated with difficulty in rising, dressing,
and climbing stairs. In osteoporosis, psychological
and quality of life assessment is very important,
as depression is a common comorbidity. Direct
questioning is needed to evaluate the effects
of osteoporosis on functional status.2 In addition
to reducing the risk of fractures and stabilizing
or increasing bone mass, the other important
goals in the treatment are to relieve symptoms
of fracture and to maximize physical function. |
