Increasing Bone Mass and Bone Strength in Individuals with Chronic Spinal Cord Injury: Maximizing Response to Therapy

Abstract

The overall objective of this research is to determine the optimal approach to enhancing and maintaining bone mass and bone strength in people with chronic SCI. Our previous research showed that teriparatide treatment can result in an increase in bone mass in people with SCI. We hypothesize that initiating a subsequent one year of treatment with alendronate will result in a further increase in bone mass and bone strength. In this study, participants terminating 2 years of teriparatide therapy are treated with open-label oral alendronate for one year. All participants are evaluated with bone imaging (DXA and CT scanning) and serum bone markers at 6 monthly intervals during the course of the study. Correlation of BMD and bone strength with fracture prevalence and incidence will also be undertaken in order to define a fracture threshold. 17 participants have been entered into this study; all have completed one year of treatment. All data have been recorded and entered. Analysis is ongoing. Bone strength testing has been initiated and data collection is on-going.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2018
Accession Number
AD1072023

Entities

People

  • Thomas J Schnitzer

Organizations

  • Northwestern University

Tags

DTIC Thesaurus Topics

  • Abstracts
  • Acquisition
  • Amino Acids
  • Biological Factors
  • Biomedical Research
  • Body Regions
  • Compressive Strength
  • Data Analysis
  • Law
  • Lower Extremity
  • Monitoring
  • Osteoporosis
  • Procurement
  • Spinal Cord
  • Spinal Injuries
  • Spine
  • X-Ray Computed Tomography

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Immunology and Pathology