[Clinical x-ray criteria for a differential approach to the surgical treatment of uremic osteodystrophy].

Abstract

To define the criteria for a differential approach to operative treatment of uremic osteodystrophy arising in hemodialysis 51 patients were examined clinically, biochemically and roentgenologically before and after parathyroidectomy. Basing on the X-ray picture, the patients were divided into 3 groups: patients with fibrous osteodystrophy seen at X-ray examination (group 1); patients with fibrous osteodystrophy, osteomalacia in predominance of secondary hyperthyroidism (group 2); patients with osteodystrophy and osteomalacia in predominance of osteomalacia syndrome (group 3); patients with uremic osteodystrophy diagnosed only biochemically. Parathyroidectomy proved most effective in group 1 patients. For group 2 patients it is indicated in a subtotal or partial form in a failure of the conservative treatment. In group 3 patients parathyroidectomy is not recommended to avoid a drastic progress of osteomalacia.

• Authors: P Ia Filiptsev, G V Ratobyl'skiĭ, V P Suslov, I A Ivanov, T V Loseva
• Journal: Urologiia i nefrologiia (Urol Nefrol (Mosk)) 1993 Jan-Feb Issue 1 Pg. 37-42 ISSN: 0042-1154 [Print] Russia (Federation)
• Vernacular Title: Kliniko-rentgenologicheskie kriterii differentsirovannogo podkhoda k operativnomu lecheniiu uremicheskoĭ osteodistrofii.
• PMID: 7941125 (Publication Type: Case Reports, Comparative Study, Journal Article)

Topics

• Adult
• Bone and Bones (diagnostic imaging)
• Chronic Kidney Disease-Mineral and Bone Disorder (diagnostic imaging, surgery)
• Diagnosis, Differential
• Female
• Humans
• Kidney Failure, Chronic (diagnostic imaging, surgery)
• Male
• Osteomalacia (diagnostic imaging, surgery)
• Parathyroidectomy
• Radiography
• Uremia (diagnostic imaging, surgery)