Review Article

Bone Health in Patients with Multiple Sclerosis

Table 1

Changes in bone cells metabolism and in bone mass/structure in patients with long-term immobilization.

IncreasedDecreased

OsteocytesApoptosisMetabolism and function
Repair of microdamage
OsteoblastsApoptosisActivity
Synthesis of type I collagen
OsteoclastsActivityApoptosis
Bone homeostasisRemodeling rate
Bone resorptionBone formation
Bone mineral density*
Cortical thickness*
Cortical density*
Trabecular density*

*The anatomic location and function of the bone in the skeleton account for the magnitude of skeletal response to immobilization.