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Clinical Cases in mineral and bone metabolism

Teriparatide in cervical fracture consolidation

Case report, 368 - 370
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The occurrence of high cervical (C1-C2) fractures in the elderly has high rates of morbidity and mortality. Propo - sed treatments include both surgical fixation and conservative treatment. The first has a high mortality rate (up to 45%) and the second is ineffective in up to 78% of cases in fracture consolidation. In non-consolidated fractures, there is an indication of surgical fixation or prolonged rigid external immobilization, which, regardless of the choice of treatment, brings risk, discomfort and low quality of life to the patient. Our report shows the case of a woman of 80 years, treated with osteoanabolic medication (teriparatide) for 12 weeks, obtaining full consolidation and symptom resolution. There are several experimental and clinical studies suggesting a potential role of
Teriparatide in the consolidation of fractures. Our report suggests that this medication may play an important role in the conservative consolidation of high cervical fractures in the elderly.

Vol. XV (No. 3) 2018 September - December

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