ICCBH2013 Poster Presentations (1) (201 abstracts)
Osteoporosis in young patients with neurological impairments
Yasser Yaghi 1, , Fatiha E L Horr 2 , Youssef Mousa 2 , Kinda Yaghi 2 & Zeinab Hneineh 2
1Hammoud Hospital UMC, Saida, Lebanon; 2Lebanese Welfare Association for the Handicapped, Sarafand, Lebanon.
Aim: Osteoporosis and resulting spontaneous fractures in young patients with neurological impairments living outside institutions have not received much attention. The aim of this study was to determine the degree of demineralization in children and teens with such disabilities living in South Lebanon, an under privileged region.
Subjects and methods: We reviewed 40 patients attending outpatient clinics in a referral rehabilitation center in South Lebanon. All patients were under 20 years of age and their impairment ranged from paraplegia to spastic palsy and polio. All patients underwent CUS measurements, serum vitamin D testing and calculation of daily dietary calcium intake.
Results: We observed bone loss in almost all patients, Their mean serum vitamin D level was 19.32 ng/ml while their mean daily calcium intake was 429.25 mg/day.
Conclusion: Younger patients with neurological disabilities are super fast bone loser population and this could lead to high fracture rate, their management should include supplementation with calcium and vitamin D and nutritional intervention to improve dietary calcium intake and malnutrition as well as intensive rehabilitation programs that include standing using various devices and walking with orthotics for weight bearing the skeleton.
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