Resumen

GUEVARA ACURIO, Ángela Lissette; RAMOS VEINTIMILLA, Wendy Yadira; GUEVARA LEGUISANO, Daniel Asdruval  y  PINO FALCONI, Pablo Ernesto. Therapeutic approaches to osteoporosis. Rev Cuba Reumatol [online]. 2022, vol.24, n.1  Epub 01-Abr-2022. ISSN 1817-5996.

The purpose of the treatment of osteoporosis is the primary and secondary prevention of fractures. The indications for therapeutic interventions in osteoporosis should be derived from the determination of the absolute risk of fracture, which takes into account the evaluation of risk factors and bone density. To comment on some therapeutic approaches used in osteoporosis, highlighting the mechanism of action of strontium ranelate that increases bone formation and reduces resorption. The most common cause of osteoporosis in women is the decrease in estrogen levels during menopause, which leads to a significant increase in the turnover of bone mass and the consequent imbalance between bone formation and resorption with an increase in bone loss and deterioration of bone structure and strength. Strontium ranelate continues to be an effective and viable pharmacological option in the prevention of vertebral and femoral neck fractures in postmenopausal women and adult men with osteoporosis, in terms of indications, contraindications and a careful evaluation of its effects and risks. It represents an alternative to antiresorptive drugs in case of contraindication, intolerance or failure.

Palabras clave : osteoporosis; primary prevention; secondary fracture prevention; strontium ranelate.

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