Top

Published in:

01-10-2019 | Sleeve Gastrectomy | Case Report

Multiple vertebral compression fractures after sleeve gastrectomy and a subsequent pregnancy: a case report

Authors: D. Scott, C. Shore-Lorenti, P. R. Ebeling

Published in: Osteoporosis International | Issue 10/2019

Abstract

We report that a 33-year-old woman developed multiple compression fractures several years after a sleeve gastrectomy followed by pregnancy. Despite normal areal BMD values assessed by dual-energy X-ray absorptiometry and no family history of osteoporosis, the patient demonstrated low lumbar spine trabecular bone score, as well as low peripheral trabecular volumetric BMD and deterioration of trabecular microarchitecture assessed by high-resolution peripheral quantitative computed tomography. Women of reproductive age should be provided with lifestyle management targeting bone health following bariatric surgery.

Burt LA, Liang Z, Sajobi TT, Hanley DA, Boyd SK (2016) Sex- and site-specific normative data curves for HR-pQCT. J Bone Miner Res 31:2041–2047CrossRef

Agarwal S, Rosete F, Zhang C, McMahon DJ, Guo XE, Shane E, Nishiyama KK (2016) In vivo assessment of bone structure and estimated bone strength by first- and second-generation HR-pQCT. Osteoporos Int 10:2955–2966CrossRef

Eastell R, Mosekilde L, Hodgson SF, Riggs BL (1990) Proportion of human vertebral body bone that is cancellous. J Bone Miner Res 5:1237–1241CrossRef

More C, Bettembuk P, Bhattoa HP, Balogh A (2001) The effects of pregnancy and lactation on bone mineral density. Osteoporos Int 12:732–737CrossRef

Di Gregorio S, Danilowicz K, Rubin Z, Mautalen C (2000) Osteoporosis with vertebral fractures associated with pregnancy and lactation. Nutrition 16:1052–1055CrossRef

Kyvernitakis I, Reuter TC, Hellmeyer L, Hars O, Hadji P (2018) Subsequent fracture risk of women with pregnancy and lactation-associated osteoporosis after a median of 6 years of follow-up. Osteoporos Int 29:135–142CrossRef

Phillips AJ, Ostlere SJ, Smith R (2000) Pregnancy-associated osteoporosis: does the skeleton recover? Osteoporos Int 11:449–454CrossRef

Hadji P, Boekhoff J, Hahn M, Hellmeyer L, Hars O, Kyvernitakis I (2017) Pregnancy-associated osteoporosis: a case-control study. Osteoporos Int 28:1393–1399CrossRef

Muschitz C, Kocijan R, Haschka J, Zendeli A, Pirker T, Geiger C, Müller A, Tschinder B, Kocijan A, Marterer C (2016) The impact of vitamin D, calcium, protein supplementation, and physical exercise on bone metabolism after bariatric surgery: the BABS study. J Bone Miner Res 31:672–682CrossRef

10.

Maghrabi AH, Wolski K, Abood B, Licata A, Pothier C, Bhatt DL, Nissen S, Brethauer SA, Kirwan JP, Schauer PR, Kashyap SR (2015) Two-year outcomes on bone density and fracture incidence in patients with T2DM randomized to bariatric surgery versus intensive medical therapy. Obesity 23:2344–2348CrossRef

11.

Schafer AL, Kazakia GJ, Vittinghoff E, Stewart L, Rogers SJ, Kim TY, Carter JT, Posselt AM, Pasco C, Shoback DM, Black DM (2018) Effects of gastric bypass surgery on bone mass and microarchitecture occur early and particularly impact postmenopausal women. J Bone Miner Res 33:975–986CrossRef

12.

Ivaska KK, Huovinen V, Soinio M, Hannukainen JC, Saunavaara V, Salminen P, Helmiö M, Parkkola R, Nuutila P, Kiviranta R (2017) Changes in bone metabolism after bariatric surgery by gastric bypass or sleeve gastrectomy. Bone 95:47–54CrossRef

13.

Ryan LE, Ing SW (2012) Idiopathic hypercalciuria and bone health. Curr Osteoporos Rep 10:286–295CrossRef

14.

Muschitz C, Kocijan R, Marterer C, Nia AR, Muschitz GK, Resch H, Pietschmann P (2015) Sclerostin levels and changes in bone metabolism after bariatric surgery. J Clin Endocrinol Metab 100:891–901CrossRef

15.

Marengo AP, Guerrero Perez F, San Martin L et al (2017) Is trabecular bone score valuable in bone microstructure assessment after gastric bypass in women with morbid obesity? Nutrients 9:1314CrossRef

16.

Cusano NE (2015) Skeletal effects of smoking. Curr Osteoporos Rep 13:302–309CrossRef

17.

Willis K, Lieberman N, Sheiner E (2015) Pregnancy and neonatal outcome after bariatric surgery. Best Pract Res Clin Obstet Gynaecol 29:133–144CrossRef

Title: Multiple vertebral compression fractures after sleeve gastrectomy and a subsequent pregnancy: a case report
Authors: D. Scott
C. Shore-Lorenti
P. R. Ebeling
Publication date: 01-10-2019
Publisher: Springer London
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Osteoporosis
Osteoporosis
Published in: Osteoporosis International / Issue 10/2019
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-019-05073-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Multiple vertebral compression fractures after sleeve gastrectomy and a subsequent pregnancy: a case report

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 10/2019

Future hospital service utilisation in older adults living in long-term residential aged care or the community hospitalised with a fall-related injury

Decreased physical health-related quality of life—a persisting state for older women with clinical vertebral fracture

Assessing risk factors of non-fatal outcomes amid a competing risk of mortality: the example of hip fracture

Effects of calcium supplementation on circulating osteocalcin and glycated haemoglobin in older women

Practical tips for prescribing exercise for fall prevention

The renin-angiotensin aldosterone system and osteoporosis: findings from the Women’s Health Initiative