Disability of locomotor system in bone metabolic diseases - experiences of Department of Paediatric Propedeutics and Bone Metabolic Diseases
Journal Title: Przegląd Pediatryczny - Year 2006, Vol 36, Issue 4
Abstract
We present the evaluation of health condition and treatment in 34 disabled children under charge of the Department of Paediatric Propedeutics and Bone Metabolic Diseases and Out-Patient Clinic of Bone Metabolism Disorders. In some of these patients dys-function of locomotor system results from congenital disease of the skeletal system and in the rest — from bone metabolic diseases. We discuss general health problems in our patients, possibilities of pharmacological treatment and rehabilitation and manner of orthopedic equipment applied in disabled children. In 20/34 patients disability was caused by vertebral fractures, mostly Th 11 and Th 12, but in 17/20 children fractures were present in several vertebrae at the same time. Permanent dysfunction of locomotor system was present in 12, while disproportions of body proportions and bone deformities in 11 patients. Low bone mass was found in all children; they were treated with calcium and vitamin D preparations. 12/34 patients also received bisphosphonates, in 7 children their intravenous form (pamidronate), which is connected with necessity of hospitalization. The performed analysis revealed that the impairment of locomotor system may be a prominent risk factor of metabolic bone diseases (secondary osteoporosis or osteopenia) in developmental age. On the other hand, severe course of these diseases, especially with multiple fractures, including vertebral fractures, often leads to temporary disability, or even deformity of the locomotor system.
Authors and Affiliations
Danuta Chlebna-Sokół, Agnieszka Kiliańska, Elżbieta Loba-Jakubowska
Keywords
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