Domestic fall – related multiple osteoporotic vertebral fractures: considerations amid late COVID-19 pandemic (a case on point)

Author:

Carsote Mara1,Stanciu Mihaela2,Popa Florina Ligia3,Sima Oana-Claudia4,Caraban Bogdan Marian5,Dumitrascu Anda6,Iliescu Mădălina Gabriela7,Nistor Claudiu Nistor8

Affiliation:

1. Department of Endocrinology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

2. Department of Endocrinology, ”Lucian Blaga” University of Sibiu, Faculty of Medicine, Sibiu, Romania

3. Department of Physical Medicine and Rehabilitation,”Lucian Blaga” University of Sibiu, Faculty of Medicine, Sibiu, Romania

4. Department of Clinical Endocrinology, C.I. Parhon National Institute of Endocrinology, Bucharest

5. Department of Plastic Surgery, „Ovidius” University of Constanta, Faculty of Medicine, Constanta, Romania

6. Department of Radiology and Imagery, C.I. Parhon National Institute of Endocrinology, Bucharest, Romania

7. Department of Physical Medicine and Rehabilitation, „Ovidius” University of Constanta, Faculty of Medicine, Constanta, Romania

8. Department 4 - Cardio-Thoracic Pathology, Thoracic Surgery II Discipline, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

Abstract

Our purpose was to introduce a case on point of a menopausal woman who suffered a domestic fall with consecutive persistent back pain and reduced mobility, and delayed the presentation amid late COVID-19 pandemic. On admission, she was confirmed with osteoporosis according to DXA (lowest T-score of -5.5) and started zoledronate. She refused further orthopedic intervention and remained on non-invasive long term rehabilitation plan while surveillance of anti-osteoporotic medication was offered to her. Fragility vertebral fractures represent increasingly common issues that require prompt intervention to overall a better prognosis. Late presentation and a first diagnosis of 10 vertebral fractures is a part of real life medicine with consequences amid potential lack of compliance to medication and adherence to a rehabilitation plan with short term and long term effects. Transition to post-pandemic reality still represents a concurrent pitfall to delayed hospitalization.

Publisher

Romanian Association of Balneology

Subject

General Medicine

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