Spinal Cord Research Help
AboutCategoriesLatest ResearchContact
Subscribe
Spinal Cord Research Help

Making Spinal Cord Injury (SCI) Research Accessible to Everyone. Simplified summaries of the latest research, designed for patients, caregivers and anybody who's interested.

Quick Links

  • Home
  • About
  • Categories
  • Latest Research
  • Disclaimer

Contact

  • Contact Us
© 2025 Spinal Cord Research Help

All rights reserved.

  1. Home
  2. Research
  3. Spinal Cord Injury
  4. Bone Mineral Density at the Distal Femur and Proximal Tibia and Related Factors During the First Year of Spinal Cord Injury

Bone Mineral Density at the Distal Femur and Proximal Tibia and Related Factors During the First Year of Spinal Cord Injury

International Journal of General Medicine, 2021 · DOI: http://doi.org/10.2147/IJGM.S297660 · Published: March 16, 2021

Spinal Cord InjuryEndocrinologyMusculoskeletal Medicine

Simple Explanation

Spinal cord injury (SCI) can lead to disuse osteoporosis, making bones more fragile. The distal femur (DF) and proximal tibia (PT) are particularly vulnerable to fractures after SCI. This study aimed to understand how bone mineral density (BMD) changes in the DF and PT during the first year after SCI, and what factors might be related to these changes. Researchers compared BMD in SCI patients to healthy individuals and looked at factors like age, vitamin D levels, and gender to see how they affect bone density in the DF and PT.

Study Duration
12 months
Participants
36 SCI patients and 36 healthy controls
Evidence Level
Not specified

Key Findings

  • 1
    BMD at the DF, PT, and hip were significantly lower in SCI patients than in controls.
  • 2
    The percentage difference in BMD between SCI patients and controls was greater at the DF and PT than at the hip, suggesting faster bone loss in the legs.
  • 3
    Age and 25OHD (a form of vitamin D) influenced DF BMD, while age and gender influenced PT BMD.

Research Summary

This study evaluated bone mineral density (BMD) changes at the distal femur (DF) and proximal tibia (PT) in spinal cord injury (SCI) patients during the first year after injury. The BMDs at the DF and PT decreased more rapidly than that at the hip in early-stage SCI patients. Age and 25OHD were influencing factors of DF BMD, and age and gender were influencing factors of PT BMD.

Practical Implications

Early Monitoring of DF and PT

Clinicians should monitor BMD in the distal femur and proximal tibia in early-stage SCI patients due to rapid bone loss in these areas.

Vitamin D Supplementation

Consider vitamin D supplementation for early-stage SCI patients to potentially prevent further bone loss, especially in the distal femur.

Gender-Specific Bone Health

Female SCI patients should pay special attention to the BMD of the proximal tibia and protect their knees due to the influence of gender on bone density.

Study Limitations

  • 1
    Limited sample size for longitudinal observation
  • 2
    Lack of detailed hierarchy in research populations
  • 3
    Study focused on the first year post-SCI, requiring longer-term studies

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury