Author/Editor		Komadina, Radko
Title		Nevittov faktor krhkosti kostnine, kostna čvrstost
Translated title		Nevitt's coefficient of bone fragility and bone strenght
Type		članek
Source		In: Čokolič M, Hojs R, Glaser M. Zbornik 1. osteološki dnevi; 2007 okt 19-20; Maribor. Maribor: Univerzitetni klinični center,
Publication year		2007
Volume		str. 104-11
Language		slo
Abstract		Osteoporosis is the most common metabolic bone disease. Recently, the paradigm for diagnosis and treatment of osteoporosis has undergone changes due to new findings on this disease.With the arrival of densitometers that could measure the BMD we started using medications that block further degradation of density and repair the densitometric results. More recent findings however suggest that the BMD value influences the predicted success of future fracture prevention in less than 50 %. The reminder is attributed to bone quality. There are a number of risk factors for osteoporotic fractures, some of greater, some of lesser significance. A small external force is necessary to cause an osteoporotic fracture otherwise the osteoporotic bone still does not break. The dominant factor in a fracture is therefore the fall of the elderly patient. Falls are preventable, although most are benign and injury free. Only in the recent decade we have started to pay attention to the fall phenomenon, which does not only involve accidents but is also a consequence of the normal aging process. Incidence of falls and hip fractures in residential elderly patients can be reduced with a multifactorial interdisciplinary prevention program.
Summary		Osteoporoza je najbolj pogosta presnovna bolezen kostnine. V zadnjem času nova spoznanja spreminjajo njeno dosedanje razumevanje. Meritev mineralne kostne gostote ima manj kot 50 % pomen pri napovedi bodočih zlomov, narašča pomen kostne kakovosti. Nekateri činitelji tveganja za osteoporotični zlom imajo večji, drugi manjši pomen. Za nastanek takšnega zloma je potrebna majhna zunanja sila, dominantni činitelj je padec starostnika. Padce pri starostniku je možno preprečiti, čeprav pri večini padcev zlom ne nastane. V zadnjem desetletju smo začeli preučevati fenomen padca, ki je po eni strani nezgoda, po drugi pa posledica normalnega procesa staranja. Incidenca padcev in zlomov kolka pri starostnikih, nameščenih v negovalnih ustanovah, se lahko učinkovito zmanjša z interdisciplinarnim preventivnim programom.
Descriptors		OSTEOPOROSIS BONE DENSITY AGED