Question
A 70 year old lady got compression fracture of L1 vertebra. There is no neurological deficit to this patient. What advise will you give for this Patient:
| A. |
Vitamin D supplementation |
| B. |
Do MRI scan |
| C. |
Go for screw fixation of L1 vertebra |
| D. |
To take Dexamethasone |
| D. |
To take Alendronate |
Show Answer
|
Correct Answer � A:E Explanation |
 |
Ans. a. Vitamin D supplementation; e. To take Alendronate
It is a case of osteoporotic fracture of lumbar spine
Treatment can be divided into medical & preventive .
- High protein diet, androgen, estrogen, Vitamin D, fluoride, alendronate, calcitonin, teripratide, denosumab & strontium (both are antiresorptive agent) .
- Orthopaedic treatment: Exercise & Bracing (ASH brace or Taylor brace)