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Blog 23 September 2021

Bunda Neuro Center, Neurology Specialist in Indonesia Presents New Technology to Overcome Osteoporosis

One of the flagship services of the Bunda Neuro Center at Bunda Jakarta Hospital, is now innovating on the treatment of spinal diseases such as osteoporosis. This disease is a form of degeneration (decreased function) that is often experienced by the people of Indonesia. Osteoporosis is a bone disease that affects the level of density, due to reduced calcium in the spine, which can cause bones to become prone to fracture. The fracture can also cause pain in the waist, so the patient will not be easy to move or lift an object. Another impact is to make weight loss.

 

Knowing Osteoporosis and Its Prevention

Osteoporosis can be experienced by people of all ages. Starts from children to adults. However, it affects more women, especially those entering menopause. This can occur due to a decrease in the amount of estrogen. Although many Indonesians experience it, not many are aware of it because it often appears without symptoms in sufferers. Generally, it is only detected when the patient has an injury that causes a fracture. Symptoms that are easily detected are easy to fracture. Even if there is only a slight impact on the body. You can also feel back pain, stooped posture and decreased height. Osteoporosis can occur due to the reduced ability of the body to regenerate bones, causing bone density to decrease. In general, it occurs when a person begins to be at the age of 35 years.

But there are other causes that also increase the risk of the disease. Such as menopause, family history of osteoporosis, low vitamin D intake, calcium deficiency, hormonal disorders, taking corticosteroid drugs, alcoholism and smoking. To confirm the bone disease, the doctor will examine the patient's complaints, symptoms, to a history of disease and medications that have been taken by the patient. If the injured patient has a possible fracture, the doctor will examine the outside of the body. After knowing the condition of the patient's injury or fracture, the next step is to carry out X-rays to CT scans. This step aims to get a clear condition of the patient's bones. To confirm the presence of osteoporosis, the neurologist then checks bone density (bone density testing) using dual energy X-Ray absorptiometry (DXA).

To prevent this disease can be done in several ways such as quitting smoking, avoiding alcoholic beverages, checking health regularly when entering menopause, exercising regularly and eating foods with high vitamin D and calcium content.

 

Technology to Overcome Osteoporosis from Bunda Neuro Center, Neurology Specialist

The doctor will check the patient's spinal density when there is a possibility of osteoporosis. Through dual X-ray absorptiometry (DXA or DEXA) scans. When making the diagnosis, the doctor can prescribe medication to prevent the fracture. These drugs work by strengthening and preventing bones from becoming brittle. Types of drugs that may be prescribed are Bisphosphonates, Calcitonin and Teriparatide. If a fracture has occurred, a prescription will be added to reduce pain. The doctor will also suggest bed rest for some time, using a special corset until surgery. The latest technologies that can be chosen to treat bone loss are Kyphoplasty and Vertebroplasty.

This technology is classified as minimally invasive surgery. There are special materials used, such as cement with the name Polymethylmethacrylate (PMMA). The material will be injected into the fractured spine. Before the material is injected, a special balloon will be inserted and enlarged at the fracture. The procedure uses X-ray fluoroscopy in the direction the doctor wants. The goal is to make the height and shape of the spine back to normal, so that it can strengthen the spine. Kyphoplasty is performed using local anesthesia.

According to the Brain & Spine Neurosurgery Specialist at Bunda Neuro Center Jakarta, dr. Ibnu Benhadi SpBS(K), the time needed in Kyphoplasty is usually 30 minutes to 60 minutes. Treatment of osteoporosis is adjusted to the severity of the patient's spinal condition. To prevent fracture, medication will be prescribed. However, if a fracture has occurred, a neurologist will recommend Kryphoplasty.

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