Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, 3168, Australia.
Department of Medicine and Australian Institute of Musculoskeletal Science, Melbourne Medical School-Western Campus, The University of Melbourne, St Albans, Victoria, Australia.
Osteoporos Int. 2019 Oct;30(10):2151-2154. doi: 10.1007/s00198-019-05073-9. Epub 2019 Jul 4.
We report that a 33-year-old woman developed multiple compression fractures several years after a sleeve gastrectomy followed by pregnancy. Despite normal areal BMD values assessed by dual-energy X-ray absorptiometry and no family history of osteoporosis, the patient demonstrated low lumbar spine trabecular bone score, as well as low peripheral trabecular volumetric BMD and deterioration of trabecular microarchitecture assessed by high-resolution peripheral quantitative computed tomography. Women of reproductive age should be provided with lifestyle management targeting bone health following bariatric surgery.
我们报告了一例 33 岁女性，在袖状胃切除术后怀孕多年后出现多处压缩性骨折。尽管双能 X 线吸收法检测的骨密度面积值正常，且无骨质疏松症家族史，但患者的腰椎骨小梁骨评分较低，外周骨小梁体积 BMD 较低，且通过高分辨率外周定量 CT 评估的骨小梁微结构恶化。对于育龄女性，应在减肥手术后提供针对骨骼健康的生活方式管理。
