Abstract
The purpose of this investigation was to determine whether there is an effect of age and the presence of predisposing risk factors on the pattern of bone resorption in men with spinal osteoporosis. We present iliac bone histomorphometric data after in vivo double tetracycline labeling in 21 men aged 34–74 with significant spinal osteoporosis as evidenced by compression spinal fracture without significant trauma. Fourteen of the 21 men (67%) had identifiable predisposing risk factors for their osteoporosis, such as ethanol abuse, hypercortisolism, hypogonadism, or underlying medical conditions. The other 7 men (33%) had no such identifiable risk factors. The conclusions of the study were that (1) there was no correlation between age of the patient and degree of bone resorption based on two parameters of resorption and (2) there was no difference in the pattern of bone resorption between the groups with and without known predisposing risk factors for osteoporosis or underlying medical conditions.
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References
Seeman E, Melton LJ, O'Fallon WM, Riggs BL (1983) Risk factors for spinal osteoporosis in men. Am J Med 75:977–983
Jackson JA, Kleerekoper M (1990) Osteoporosis in men: diagnosis, pathophysiology, and prevention. Medicine 69:147–152
Niewoehner C (1993) Osteoporosis in men. Postgrad Med 8: 59–68
Anderson DC (1992) Osteoporosis in men. BMJ 305:489–490
Cummings SR, Kelsey J, Nevitt MC, O'Dowd KJ (1985) Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev 7:178–208
Slemenda CW, Christian JC, Reed T, Reister MS, Williams CJ, Johnston CC (1992) Long-term bone loss in men: effects of genetic and environment factors. Ann Int Med 117:286–291
Scane AC, Francis RM (1993) Risk factors for osteoporosis in men. Clin Endocrinol 38:15–16
Rivlin RS, Khan NA (1993) Osteoporosis in males: an overview. Curr Concepts Perspec Nutr 1–19
Francis RM, Peacock M, Marshall DH, Horsman A, Aaron JE (1989) Spinal osteoporosis in men. Bone Miner 5:347–357
Kelepouris N, Harper K, Attie M, Kaplan F, Fallon M, Haddad JG (1988) Osteopenia in men: a clinical and histologic study of 54 patients (abstract). J Bone Miner Res 3(Suppl 1):207
Baillie SP, Davison CE, Johnson FJ, Francis RM (1992) Pathogenesis of vertebral crush fractures in men. Age Ageing 21:139–141
Allain T, Pitt P, Moniz C (1992) Osteoporosis in men (letter). BMJ 305:955–956
Riggs BL, Melton LJ III (1983) Evidence for two distinct syndromes of involutional osteoporosis. Am J Med 75:899–901
Jackson JA, Kleerekoper M, Parfitt AM, Rao DS, Vallanueva AR, Frame B (1987) Bone histomorphometry in hypogonadal and eugonadal men with spinal osteoporosis. J Clin Endocrinol Metab 65:53–58
Bikle DD, Genant HK, Cann C, Recker RR, Halloran BP, Strewler GJ (1985) Bone disease in alcohol abuse. Ann Int Med 103:42–48
Malluche HH, Faugere M (1986) Atlas of mineralized bone histology. Karger, New York
Recker RR (ed) (1983) Bone histomorphometry techniques and interpretation. CRC Press, Baton Rouge, FL
Compston JE, Croucher PI (1991) Histomorphometric assessment of trabecular bone remodeling in osteoporosis. Bone Miner 14:91–102
Vigorita Vincent (1984) The tissue pathologic features of metabolic bone disease. Orthop Clin North Am 15:613–629
Melsen S, Mosekilde R (1978) Tetracycline double-labeling of trabecular bone in 41 normal adults. Calcif Tissue Res 26:99–102
Aaron JE, Makins NB, Sagreiya K (1987) The microanatomy of trabecular bone loss in normal aging men and women. Clin Orthop 215:260–271
Eriksen EF, Mosekilde L, Melsen F (1985) Trabecular bone resorption depth decreases with age: differences between normal males and females. Bone 6:141–146
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Delichatsios, H.K., Lane, J.M. & Rivlin, R.S. Bone histomorphometry in men with spinal osteoporosis. Calcif Tissue Int 56, 359–363 (1995). https://doi.org/10.1007/BF00301602
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DOI: https://doi.org/10.1007/BF00301602