← Return to My Experience on Evenity for Treating Osteoporosis

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@jenniferhunter

@rosew17 I think what you are asking about is called kyphoplasty named because the spinal fractures cause "kyphosis" where the thoracic spine is bent forward like a stooped posture. It is also called vertebroplasty. This is a procedure where they use bone cement to put the fracture back together to try to keep a normal alignment of the spine. I think it would need to be done right away after a compression fracture before the bone heals back together, but that is a question for a spine surgeon. Kyphoplasty can be very successful according to doctors who discussed it with me about my mom.
https://www.mayoclinic.org/tests-procedures/vertebroplasty/about/pac-20385207
My elderly mom had a compression fracture at T12, and was not a candidate for kyphoplasty because of severe osteoporosis. They gave her a back brace instead and she was in rehab, but also followed up with a spine surgeon for 3 months that they consulted at the time of the fractures. After 3 months, her spine has fused the bone back together, and the doctor's concern was that she now has a 43 degree curve at that level which is worse than the initial fracture. He stressed that she needed to wear the brace consistently except when sleeping. Her outcome would have been better if she followed directions, but try to convince a 92 year old of that. She does not have pain, so there is no reason for spine surgery, but he said in a younger patient a 43 degree curve would indicate a need for surgery.

My mom has a history of blood clots in her calves and has been on Eliquis for several years without reoccurence. She is seeing an endocrinologist and also has a history of parathyroid disease that was pulling calcium out of her bones, and had surgery to remove the bad parathyroid gland. She had been on Alendronate taken weekly for about 10 years. According to the doctor that may not have the best results with a person with parathyroid disease. She has just started Evenity injections which need to be once a month for a year. I have to keep reminding her to drink enough water because Evenity can cause heart complications. She has never had a heart attack but is treated for high blood pressure. It is common for the elderly to lower liquid consumption because of difficulties with bathroom issues, etc, and they think they can get away with it and I've had this discussion with my mom for years. I told her it is important to drink water to avoid dehydration and prevent heart problems while on Evenity.

59 is pretty young for spine compression fractures and that can only get worse as you age without treatment for osteoporosis. If you have not been seen by an endocrinologist, that may be something to consider because they are a specialists in how all the hormones interact for biological functions of everything. You are also at menopausal age and loosing the female hormones that help maintain bone density. (I presume with Rose as a member name that you are a woman). Have you considered hormone replacement therapy? Has your doctor explained the side effects with Evenity and what you should do to minimize risk? It will be a long process to see if this is helping. Have you done any physical therapy that could strengthen the support for the spine? According to my spine surgeon, that is the best way to NOT need his services in the future. I had cervical spine surgery because of an injury from an old whiplash. You may want to write a list of detailed questions about all of this for your providers. Have you also been seen by a spine specialist?

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Replies to "@rosew17 I think what you are asking about is called kyphoplasty named because the spinal fractures..."

Jen, my endocrinologist checks his osteoporosis patients' for any parathyroid dysfunction before he puts them on any drugs for osteoporosis, including bisphosphonates. Reading your post noting you mother's experience with alendronate, now his approach makes sense. Since I didn't take any meds, I didn't ask about the pre-prescribing tests but am glad to know he's on his game if I ever need them.