Current osteoporosis treatment methods are ineffective and focus too much on one type of bone deterioration, research has suggested.
A study published in The Lancet found that most fractures in old age happened as a result of cortical rather than trabecular bone loss, raising serious questions about how the condition is managed by doctors that for the past 70 years have focused on the former.
Up to 80% of breaks occur at cortical sites, the study said, adding that most were non-vertebral in nature.
Study leader Dr Roger Zebaze said that while treatment methods were misplaced, the findings paved the way for a new era of improved drugs and targeted intervention.
“Accurate assessment of bone structure, especially porosity producing cortical remnants, could improve identification of individuals at high and low risk of fracture and therefore assist targeting of treatment,” he said.
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