Korean J Bone Metab > Volume 14(2); 2007 > Article
Korean Journal of Bone Metabolism 2007;14(2):155-160.
A Case of Postpregnancy Spinal Osteoporosis
임신 후 척추 골다공증 1예
김헌성,김도이,원현선,이수희,홍영호,김태선,서윤용,장유진,박소영,임창훈,김성훈,한기옥,윤현구
관동대학교 의과대학 제일병원 내분비대사 내과
Abstract
Osteoporosis associated with pregnancy is a rare disorder characterized by fragility fractures and low bone mineral density (BMD) during or shortly after pregnancy. Although the etiology and pathogenesis of pregnancy associated osteoporosis is unclear, excessive bone resorption, low calcium intake and vitamin D insufficiency could contribute to fracture risk. We experienced a case of a previously healthy 34-year-old woman who suffered low back pain 2 months after delivery. No secondary causes of osteoporosis, based on physical examination and laboratory tests, were found. Radiologic examination showed multiple compression fractures on her lumbar vertebrae. Dual energy X-ray absorptiometry (DXA) showed a BMD of L1 to L4 spine of 0.782 g/cm2 (Z-score: -1.9). We report a rare case of a lactating 34-year-old woman who developed multiple vertebral fractures after delivery.
Key Words: Pregnancy-associated osteoporosis, Lactation, Fracture


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