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Una mirada a la fisiopatología durante la gestación y la aparición de fracturas de novo en gestantes

Authors

  • Natalia Viviana Arévalo Tobar Universidad Cooperativa de Colombia
  • David Daniel Zabala Paipilla Universidad de Ciencias Aplicadas y Ambientales;
  • Liliana de Jesús Revelo Imbacuan Universidad del Sinú Cartagena
  • Dayana Mercedes Meriño Torres Universidad Metropolitana Barranquilla
  • Juan Camilo Delgado Patiño Pontificia Universidad Javeriana

Keywords:

Bone density, pregnancy, fracture, osteoporosis, calcium.

Abstract

La gestación, implica que la mujer se adapte a cambios fisiológicos y tolere ciertos procesos patológicos para poder concluir la misma de forma satisfactoria y dar vida al nuevo ser.

Durante esta revisión sistémica se pretende analizar aquellos factores principales que interfieren, siendo uno de los más importantes los desarrollados a nivel del sistema endocrino el cual, es quizá el sistema que más se destaca en esta secuencia de sucesos y en donde sus efectos terminan alterando a otros sistemas, como lo es el aparato musculo esquelético, esto se logra a través de factores hormonales como las proteínas relacionadas con la hormona paratiroidea (PTHrP), la cual está involucrada en el metabolismo óseo, favoreciendo una disminución en la densidad mineral ósea y por consiguiente la aparición de fracturas y sus complicaciones asociadas. (1)

References

E M Invierno 1 , A Irlanda 2 , N C Butterfield. 1. Embarazo y lactancia, un desafío para el esqueleto en conexiones endocrinas AÑO 2020; 3(): 1,2,3. https://ec.bioscientifica. com/view/journals/ec/9/6/EC-20-0055.xml (consultado junio de 20201,2).

Spinal compression fractures due to pregnancy-associated osteoporosis. Krishnakumar R1, Kumar AT1, Kuzhimattam MJ1 Journal of Craniovertebral Junction & Spine, 30 Sep

, 7(4):224-227

Thienpont E, Simon J, Fabry G. Sacral stress fracture during pregnancy-a case report. Acta Orthopaedica Scandinavica. 1999;70(5):525-526.

Vertebral fractures in a case of pregnancy and lactation- associated osteoporosis 2020 Feb 17;140(3)

Laroche M, Talibart M, Cormier C, Roux C, Guggenbuhl P, Degboe Y. Pregnancy-related fractures: a retrospective study of a French cohort of 52 patients and review of the literature. Osteoporosis International. 2017;28(11):3135-3142.

Derek S. Anselmo, BS; Ebony Love, DPM; Dana N. Tango, MPH; Lesly Robinson, DPM. Musculoskeletal Effects of Pregnancy on the Lower Extremity. J Am Podiatr Med Assoc

; 107 (1)(60–64.)

Kovacs, Christopher S. Osteoporosis presenting in pregnancy, puerperium, and lactation. Current Opinion in Endocrinology Diabetes and Obesity 2014; Volume 21(468-475)

Magnus K Karlsson 1, Henrik G Ahlborg, Caroline Karlsson. Maternity and bone mineral density. Pubmed 2005; 1(2-13)

Ritchie, Joseph R. Md. Orthopedic considerations during pregnancy . Clinical Obstetrics And Ginecology 2003; Volume 46(456-466)

Kristy M Nicks 1, Tristan W Fowler, Dana Gaddy. Reproductive hormones and bone. Pubmed 2010; Volume 2(60-7)

Rentice A. Maternal calcium requirements during pregnancy and lactation. Am J Clin Nutr . 1994; Volume 2(477S-482)

Natalia Campos-Obando, Ling Oei, Lies H. Hoefsloot, Rosalie M. Kiewiet, Caroline C. W. Klaver, Marleen E. H. Simon, M. Carola Zillikens. Osteoporotic vertebral fractures during pregnancy. The Journal of Clinical Endocrinology & Metabolism 2014; Volume 99: 4, 1

Gómez de Tejada Romero MJ1, García Caballero A2, Groba Marco M2, Cárdenes León A2, Lázaro Archilla J2, Sosa Henríquez M2,3. Osteoporosis del embarazo. Presentación de 5 casos y seguimiento a largo plazo. Rev Osteoporos Metab Miner 2012; Volume 2(57-62)

Wysolmerski JJ. The evolutionary origins of maternal calcium and bone metabolism during lactation. Journal of Mammary Gland Biology & Neoplasia 2002 7 267–276.

Takumi Kurabayashi. Calcium and bone metabolism across women’s life stages. Pathophysiology, adiagnosis and treatment of post-pregnancy osteoporosis. Clin Calcium .

; Volume 5(643-652.)

E.MalheiroabN.Chabbert-BuffetbcJ.-N.TalbotbdS.Périéab. Hyperparathyroidism in regnancy and 99mTc-MIBI scintigraphy. European Annals of Otorhinolaryngology, Head and Neck Diseases 2019; Volume 136(6)

D. Ozdemir, A. A. Tam, A. Dirikoc, R. Ersoy & B. Cakir. Postpartum osteoporosis and vertebral fractures in two patients treated with enoxaparin during pregnancy. Osteoporosis International 2014; Volume 26: 415-8.

Andrea Cullers 1, Janet C King 2, Marta Van Loan 3, Ginny Gildengorin 2, Ellen B Fung . Effect of prenatal calcium supplementation on bone during pregnancy and 1 y postpartum. Am J Clin Nutr . 2019; Volume 1(1;109)F

Carlos H S de Andrade 1, Renata C L Bitencourt 1, Ruanna K G de Freitas 1, Larissa F da Cunha 1, Daniela C Matos 1, Pedro I C Lira 2, Leila Barbosa 1, Andrea Lemos. Factors associated with pain in the pelvic girdle in pregnant adolescents: A case-control study. Musculoskelet Sci Pract . 2018; Volume 38(106-112)

Jacqueline E.Monaco. Orthopedic considerations in pregnancy. Primary Care Update for OB/GYNS 1996; Volume 3(6)

Amit Bhardwaj 1, Kavitha Nagandla. Musculoskeletal symptoms and orthopaedic complications in pregnancy: pathophysiology, diagnostic approaches and modern management. . Postgrad Med J . 2014; Volume 10(:450-60)

Matthews LJ, McConda DB, Lalli TA, Daffner SD.

Orthostetrics: Management of Orthopedic Conditions in the

Pregnant Patient.. 2015 Oct;38(10):e874-80.

Wuytack F, Daly D, Curtis E, Begley C. Midwifery Prognostic factors for pregnancy-related pelvic girdle pain, a systematic review.. 2018 Nov;66:70-78.

Stuge B. Eur Spine J Prognostic factors for recovery from postpartum pelvic girdle pain. Vøllestad NK,. 2009 May;18(5):718-26.

Kovacs CS. Curr Opin Endocrinol Diabetes Obes.

Osteoporosis presenting in pregnancy, puerperium, and lactation 2014 Dec;21(6):468-75

Karlsson MK, Ahlborg HG, Karlsson C.Maternity and bone mineral density Acta Orthop. 2005 Feb;76(1):2-13..

Biviá-Roig G, Lisón JF, Sánchez-Zuriaga D. PLoS One. Changes in trunk posture and muscle responses in standing during pregnancy and postpartum. 2018 Mar 27;13(3):e0194853.

Bakker CM, Li Y, Zhao H, Leavitt L, Tseng WJ, Lin T, Tong W, Qin L, Liu XS. J Bone Miner Res. Structural Adaptations in the Rat Tibia Bone Induced by Pregnancy and Lactation Confer Protective Effects Against Future Estrogen Deficiency. de

Dec;33(12):2165-2176

Ettinger AS, Lamadrid-Figueroa H, Mercado-García A, Kordas K, Wood RJ, Peterson KE, Hu H, Hernández-Avila M, Téllez-Rojo MM. Nutr J. Effect of calcium supplementation on bone resorption in pregnancy and the early postpartum: a randomized controlled trial in Mexican women. 2014 Dec 16;13(1):116.

Black AJ, Topping J, Durham B, Farquharson RG, Fraser WD. J Bone Miner Res. A detailed assessment of alterations in bone turnover, calcium homeostasis, and bone density in normal pregnancy. 2000 Mar;15(3):557-63.

Pauk J, Swinarska D. Technol Health Care. The impact of body mass on spine alterations in pregnant women: A preliminary study. 2018;26(S2):665-669

E Thienpont 1, J P Simon, G Fabry. Sacral stress fracture during pregnancy--a case report. Acta Orthop Scand . 1999; Volume 5(525-6)

Published

Dec 16, 2020

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