Osteoporosis is a nonspecific term referring to a condition that is characterized by quantitative loss of bone, that is, atrophy of bone. The bone that is present is entirely normal, since the organic and inorganic phases diminish in equal proportion. The reduced amount of bone is manifested by thinning of the cortex or reduced number and caliber of cancerous trabeculae, or more commonly both. Thus, affected bones are thin, porous, and brittle. The volume of bone remains constant, however. The only bone disease in humans classified as osteoporosis is that condition seen in elderly men and women in which the usual complaint is back pain of insidious or sudden onset, such as following injury, and collapse of vertebral bodies causing kyphosis. It is the most important factor in the incidence of hip disease in the aged. Aegeter and Kirkpatrick state this is the only type of reduction in bone mass that is properly called osteoporosis and the term osteoporosis properly refers to no other bone disease. The cause of osteoporosis is unknown. A reduction in bone mass can be seen in primary hyperparathyroidism, nutritional hyperparathyroidism, renal secondary hyperparathyroidism, pseudohyperparathyroidism, hyperthyroidism, acromegaly, hepatic toxicity, immobilization of a limb, long-term tetraplegia, multiple myeloma, as a result of the administration of certain anticonvulsant drugs, and in hyperadrenocorticism. However, the reduction in bone mass is seen only secondarily to the primary condition, hence the term secondary osteoporosis should be used.

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