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Rehabilitation (Stuttg) 2018; 57(04): 229-232
DOI: 10.1055/a-0587-1843
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© Georg Thieme Verlag KG Stuttgart · New York

Rehabilitation seltener Erkrankungen: Schwangerschaftsassoziierte Osteoporose

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Publication History

Publication Date:
10 August 2018 (online)

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Einleitung

Eine schwangerschaftsassoziierte Osteoporose ist eine sehr seltene Erkrankung, die sich durch Wirbelkörperfrakturen im letzten Trimenon oder nach der Geburt manifestiert. Bislang sind etwa 200 Fälle publiziert. Die geschätzte Inzidenz beträgt 4–8 pro 1 Mio. Schwangerschaften [1] [2]. Erstsymptom sind meist neu aufgetretene immobilisierende Rückenschmerzen. Die Therapieentscheidung ist individuell zu treffen, die besten Daten liegen zu Teriparatid und Bisphosphonaten vor [3] [4].

 

  • Literatur

  • 1 Hadji P, Boekhoff J, Hahn M. et al. Pregnancy-associated osteoporosis: a case-control study. Osteoporos Int 2017; 28: 1393-1399
    CrossrefPubMedGoogle Scholar
  • 2 Hadji P, Boekhoff J, Hahn M. et al. Pregnancy-associated transient osteoporosis of the hip: results of a case-control study. Arch Osteoporos 2017; 12: 11
    CrossrefPubMedGoogle Scholar
  • 3 O'Sullivan SM, Grey AB, Singh R. et al. Bisphosphonates in pregnancy and lactation-associated osteoporosis. Osteoporos Int 2006; 17: 1008-1012
    CrossrefPubMedGoogle Scholar
  • 4 Choe EY, Song JE, Park KH. et al. Effect of teriparatide on pregnancy and lactation-associated osteoporosis with multiple vertebral fractures. J Bone Miner Metab 2012; 30: 596-601
    CrossrefPubMedGoogle Scholar
  • 5 Kroenke K, Spitzer RL, Williams JB. et al. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics 2009; 50: 613-621
    CrossrefPubMedGoogle Scholar
  • 6 Lips P, Cooper C, Agnusdei D. et al. Quality of life in patients with vertebral fractures: validation of the Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41). Working Party for Quality of Life of the European Foundation for Osteoporosis. Osteoporos Int 1999; 10: 150-160
    CrossrefPubMedGoogle Scholar
  • 7 Laroche M, Talibart M, Cormier C. et al. Pregnancy-related fractures: a retrospective study of a French cohort of 52 patients and review of the literature. Osteoporos Int 2017; 28: 3135-3142
    CrossrefPubMedGoogle Scholar
  • 8 Smith R, Phillips AJ.. Osteoporosis during pregnancy and its management. Scand J Rheumatol Suppl 1998; 107: 66-67
    PubMedGoogle Scholar
  • 9 Ozcelik B, Ozcelik A, Debre M.. Postpartum depression co-occurring with lactation-related osteoporosis. Psychosomatics 2009; 50: 155-158
    CrossrefPubMedGoogle Scholar
  • 10 Ozturk C, Atamaz FC, Akkurt H. et al. Pregnancy-associated osteoporosis presenting severe vertebral fractures. J Obstet Gynaecol Res 2014; 40: 288-292
    CrossrefPubMedGoogle Scholar
  • 11 Lee JH, Lee SH.. Multiple vertebral compression fractures associated with post partum osteoporosis. J Back Musculoskelet Rehabil 2011; 24: 117-121
    PubMedGoogle Scholar
  • 12 Pfeifer M, Begerow B, Minne HW. Randomized trial of effects of a newly developed spinal orthosis on posture, trunk muscle strength and quality of life in postmenopausal women with spinal osteoporosis. Am J Phys Med Rehabil 2004; 83: 177-186
    CrossrefPubMedGoogle Scholar