There are many diseases that occur with age and affect quality of life. Although the first ones that come to mind are cardiovascular diseases, tumoral diseases, respiratory diseases, obesity, mental health diseases, it should not be forgotten that osteoporosis, which impairs the carrying quality and capacity of the skeletal system, deteriorates.
prof. Dr. Murat Servan Döşoğlu stated that the Kovid-19 epidemic, which has been fought for the last 1.5 years, has changed the way of life and limited daily routine activities and sports habits.
Döşoğlu stated that especially individuals over the age of 65 began to live a sedentary life as a reflection of the long periods spent at home, and said that this inactivation affects bone health in older people and causes an increase in osteoporosis and related fractures.
Pointing out that restrictions and a lifestyle spent at home with the fear of catching a disease outside, Döşoğlu pointed out that the cortisone drugs used in the treatment of Kovid-19 also triggered the development of osteoporosis, “The number of osteoporotic fractures and related surgeries increased considerably during the epidemic period. The fear of going to the hospital due to Kovid-19 and the decision to wait at home by accepting the pain causes the diagnosis to be delayed and the fracture to progress and the spine to hump. However, with early diagnosis, patients can both get rid of pain and prevent slouching, posture and gait disorders that may occur in the late period.
Döşoğlu stated that osteoporosis causes a decrease in the inner part of the bone, reducing the bearing quality and capacity of the skeletal system, and that this decrease in bone content causes bone fragility and thus fractures. He said it caused fractures.
prof. Dr. Döşoğlu said, “Osteoporotic fractures are usually seen after a trauma at the beginning, but can also be seen in the future without a serious trauma. This type of fracture, which is defined as low-energy fractures, can occur while sitting, lying or even turning. Fractures are most common in the spine or long bones.” used the phrases.
“An active life is as important as nutrition”
prof. Dr. Murat Servan Döşoğlu stated that the calcium and phosphorus balance in the body and the hormones parathormone and calcitonin, which control this balance, are very important for bone health.
In addition, Döşoğlu emphasized that vitamin D level, benefiting from the sun and, more importantly, an active lifestyle are the most important factors that stimulate bone formation, protect bone health and prevent osteoporosis. An active life with stimulation is as important as nutrition.Sleeping and becoming bedridden will cause rapid bone destruction, formation of pores in the bone content and melting with inactivity.Smoking, drinking, unbalanced nutrition, overweight and respiratory diseases have negative effects on bone health. In addition, the presence of osteoporosis in the family is one of the important risk factors for fracture formation. made evaluations.
“It usually occurs in the form of wedges”
Pointing out that there are several types of osteoporotic fractures of the spine, Döşoğlu noted that they usually occur in the form of wedges.
“While those with wedging fractures apply to the hospital with only severe back or low back pain, those with other types of compression fractures present with spinal cord and nerve compression in addition to pain, with varying degrees of strength and sensation defects of the crushed nerve, urinary and stool control problems and similar complaints. Depending on the type of spinal fractures, their treatment also varies. Wedge fractures were formerly treated medically by lying in bed or on a plaster bed for 6-8 weeks. In this method, the patient spends this period of time with pain, which may cause an increase in fractures and new findings that were not present at the beginning, despite lying down. Today, wedging fractures are treated with cement (cement) injected into the vertebrae, and the patient can both get rid of the pain immediately and get up immediately.”
prof. Dr. Stating that the treatment of compression fractures is both urgent and difficult, Döşoğlu stated that as the damage in the carrier system gets worse, it can cause spinal cord compression and volatility in the spine.
Emphasizing that these patients’ walking and sitting can cause the spine to slip and neurological symptoms to occur or to increase the existing ones, Döşoğlu said, “For this reason, patients with fractures that cause mobility are prevented from standing up and these fractures are only treated with a more difficult and heavy surgery such as screwing-inserting a device. “Wedding fractures, on the other hand, are more advantageous for the patient as they are of a milder type and only cause pain. These fractures are easier to treat because they are not movable. However, if they are not treated, they can change into a difficult type and progress.” used the phrases.
Döşoğlu stated that wedging fractures are treated in the operating room with local or general anesthesia and under scopy (x-ray) control, and said, “With the methods called kyphoplasty or vertebroplasty, the wedged bone is entered with the help of a needle and the collapsed bone roof is raised and strengthened by giving cement into the bone. In this procedure, severe back or low back pain in the patient is immediately resolved with the elimination of the collapse and the normalization of the bone morphology, and the risk of hunching that may occur in the late period is eliminated. After the procedure, the patient can easily stand up and walk. Since the spine itself is strengthened, the need for external support such as a corset is eliminated and the limitations applied to the patient are removed. made its assessment.