Article For Patients

This video is made in Thai language, subtitles/cc may be applied. 

What are the causes of lost height in the elderly?

Nav. Lt. Comm. Thanut Valleenukul, MD

This video discusses a common problem in the elderly, which is spinal fusion, which is one of the causes of reduced height in the elderly.

The main cause of this problem is osteoporosis, which causes the spine to lose its density and be more susceptible to fractures, especially in postmenopausal women and men over 70 years of age.

Diagnosis

  • X-rays: provide an overview of the spine and detect fractures.
  • Bone density assay (DEXA scan): helps assess the severity of osteoporosis.
  • CT scan: provide a more detailed image of the spine and detect fractures clearly.
  • MRI: is used to check for nerve damage that may result from spinal fusion.

Impacts of spinal fusion

  • Decreased height: due to spinal fusion.
  • Back pain: The pain can be severe and affect quality of life.
  • Nerve compression: may cause numbness, weakness, or pain radiating down the leg.

Other risk factors In addition to osteoporosis, other conditions that can cause vertebral collapse include:

  • Vitamin D deficiency
  • Rheumatoid arthritis
  • Chronic kidney disease
  • Long-term use of certain medications, such as steroids

Recommendations

If you notice that you or an elderly person in your family has lost height or has chronic back pain, you should consult a doctor for diagnosis and appropriate treatment.

This video emphasizes the importance of health check-ups and bone health care in the elderly to prevent and delay the onset of osteoporosis and reduce the risk of serious complications.

The Metabolic Bone Disease Subspecialty
The Royal College Of Orthopaedic Surgeons Of Thailand
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