Treatment of Fractures in 15 cases of Osteitis Fibrosa Cystica - Hyperparathyroidism: A Case Series

Abstract

Objective: To study retrospectively the results of treatment of cases of pathological fractures
presenting with osteitis fibrosa cystica due to hyperparathyroidism.
Material & Methods: Records of cases of hyperparathyroidism treated for pathological
fractures in the past seven years were reviewed to assess success of treatment by various
modalities. All patients had been investigated for vitamin D deficiency, parathyroid levels, serum
calcium & phosphate levels along with renal function tests. All X-rays were restudied for evidence
of osteitis fibrosa cystica.
Results: Thirteen cases healed uneventfully, one died of unrelated reasons and one failure led to
non union. All patients had received oral calcium supplements and injectable vitamin D for three
months at least. There were no complications of this treatment regimen.
Conclusion: Pathological fractures due to bone weakness caused by hyperparathyroidism can
be treated by various treatment modalities supplemented by oral calcium and injectable vitamin D.