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Treatment of immobilization hypercalciuria using weekly alendronate in two quadriplegic patients
1Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Baskent University, 5. Sokak No: 48, Bahcelievler, Ankara 06490, Turkey. atalayayce@hotmail.com
Abstract:
Metabolic and urinary problems encountered in spinal cord injury patients are multifaced. We report two patients with high-level spinal cord injuries who have developed hypercalciuria after admission to the rehabilitation unit. To establish a clean intermittent self-catheterization programme, the hypercalciuria was treated successfully with alendronate. Twenty-four-hour urinary calcium excretion decreased significantly after medical treatment for hypercalciuria. Since high-level quadriplegic patients may not be mobilized in the acute phase of the rehabilitation, use of alendronate for preventing hypercalciuria and maintaining a successful clean intermittent self-catheterization programme can be considered as a supportive/complementary measure.
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