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Change in spinal bone mineral density as estimated by Hounsfield units following osteoporosis treatment with romosozumab, teriparatide, denosumab, and alendronate: an analysis of 318 patients.

Anthony L MikulaNikita LakomkinAbdelrahman M HamoudaMegan C EversonZach PenningtonRahul KumarZachariah W PinterMichael L MartiniMohamad BydonKurt A KennelFrancis BaffourAhmad NassrBrett FreedmanArjun S SebastianKingsley Abode-IyamahPaul A AndersonJeremy L FogelsonBenjamin D Elder
Published in: Journal of neurosurgery. Spine (2024)
Patients treated with romosozumab for a mean of 10.5 months and teriparatide for a mean of 23 months experienced improved spinal bone mineral density as estimated by CT-based opportunistic HU. Given the shorter duration of effective treatment, romosozumab may be the preferred medication for optimization of osteoporotic patients in preparation for elective spine fusion surgery.
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