en
Professional article
Open access
French

Ostéoporose

Other titleOsteoporosis
Published inRevue médicale suisse, vol. 16, no. 676-677, p. 78-80
Publication date2020-01-15
Abstract

Except for bisphosphonates, the duration of anti-osteoporotic treatment is not limited to 3 to 5 years. T-score between - 2.0 and - 1.5 DS might be the BMD target to reach before considering discontinuing anti-osteoporosis treatment. A rebound of bone remodeling can occur in some patients despite receiving zoledronate after denosumab discontinuation, and the monitoring of CTX is required. There is no benefit of vitamin D supplementation on musculoskeletal health in the general population, but vitamin D remains indicated in patients with vitamin D deficiency or receiving osteoporosis treatment. A sequential treatment with romosozumab during one year, a bone anabolic anti-sclerostin antibody, followed by two years of denosumab, decreases vertebral and non-vertebral fractures with rapid and substantial BMD gains after 3 years.

engfre
Keywords
  • Bone Density
  • Bone Density Conservation Agents / therapeutic use
  • Bone Remodeling
  • Bone and Bones
  • Denosumab
  • Diphosphonates
  • Humans
  • Osteoporosis / drug therapy
  • Osteoporosis, Postmenopausal / drug therapy
Citation (ISO format)
BIVER, Emmanuel, FERRARI, Serge Livio. Ostéoporose. In: Revue médicale suisse, 2020, vol. 16, n° 676-677, p. 78–80. doi: 10.53738/REVMED.2020.16.676-77.0078
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Article (Published version)
accessLevelPublic
Identifiers
ISSN of the journal1660-9379
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