A Case of Male Osteoporosis: A 37-Year-Old Man with Multiple Vertebral Compression Fractures

Figure 1

(a) BMD measurements and -scores at lumbar spine, femoral neck, and total hip at initial presentation. (b) Left: sagittal view of spine CT scan showing compression fractures of T12, L1, L3, and L5, with diffuse osteopenia. Right: lateral spine X-ray showing cement in the body of L5 following vertebroplasty (arrowhead) and severe wedging of L1 and L3. (c) Changes in serum levels of osteocalcin (—) and P1NP (■—■) during the course of treatment. Shaded area represents normal reference values. (d) BMD measurements and -scores after completing two years of treatment with teriparatide followed by one year of denosumab.

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