Allington Nanni, Vivegnis Danielle, Gerard Paul
Department of Orthopaedic Surgery, CHR La Citadelle, Liège, Belgium.
Acta Orthop Belg. 2005 Feb;71(1):91-7.
Eighteen osteoporotic (Z-score at or below 2.5) nonambulatory children with cerebral palsy or a neuromuscular disorder received cyclic intravenous administration of pamidronate. One year after treatment, bone densitometry showed an improvement in all patients: a mean increase of 13% +/- 15% standard deviation (SD) (p < 10(-5)) on the global data, and a mean increase of 27% +/- 15% (p < 10(-5)) on the most significant area for each individual patient. Clinical improvement was found in all patients, with a decrease in pain on manipulation, and no new fractures. No major adverse effects were reported. Cyclic intravenous administration of pamidronate is a useful tool in the treatment of osteoporosis in these children.
18名患有脑瘫或神经肌肉疾病的骨质疏松症(Z值等于或低于2.5)的非行走儿童接受了帕米膦酸的周期性静脉给药。治疗一年后,骨密度测量显示所有患者均有改善:整体数据平均增加13%±15%标准差(SD)(p<10⁻⁵),每位患者最显著区域平均增加27%±15%(p<10⁻⁵)。所有患者均有临床改善,手法操作时疼痛减轻,且无新骨折发生。未报告重大不良反应。帕米膦酸的周期性静脉给药是治疗这些儿童骨质疏松症的有效手段。