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01-08-2010 | Klinische les
Pijn na een osteoporotische wervelfractuur
Auteurs: Marijke Olthof, Tanne van Wijngaarden, Janny Dekker
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Samenvatting
Olthof M, Van Wijngaarden T, Dekker J.H. Pijn na een osteoporotische wervelfractuur. Huisarts Wet. 2010;53(8):442-5.
Osteoporotische wervelfracturen kunnen hevige pijn veroorzaken. De NHG-Standaard Osteoporose adviseert deze pijn te bestrijden met medicatie. Sommige patiënten komen daarmee echter niet uit. In deze klinische les beschrijven wij twee patiënten die onvoldoende reageerden op de gebruikelijke pijnbestrijdingsschema’s en bij wie de vraag rees of een vertebroplastiek gerechtvaardigd zou zijn. Het aanvankelijk positieve oordeel over deze ingreep werd sterk gerelativeerd door twee recente onderzoeken. Een alternatieve behandeloptie is in ieder geval fysiotherapie. Nieuwe geneesmiddelen zijn het onderzoeksstadium nog niet voorbij.
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Literatuur
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Metagegevens
- Titel
- Pijn na een osteoporotische wervelfractuur
- Auteurs
-
Marijke Olthof
Tanne van Wijngaarden
Janny Dekker
- Publicatiedatum
- 01-08-2010
- Uitgeverij
- Bohn Stafleu van Loghum
- DOI
- https://doi.org/10.1007/BF03089228