Background: The duration and mode of use of activating thoracolumbar orthoses for low-energy vertebral fractures remains a subject of debate.
Aim: Тo evaluate the effect of an activating thoracolumbar orthosis in women with a fracture due to osteoporosis on pain, strength of the back and abdominal muscles when worn throughout the day and for up to 2 months.
Materials and methods: A prospective, single-center cohort study. Muscle strength was assessed in points using a modified FSSD (flexibility-strength-statics-dynamics) test, the «Stand up from a chair 5 times with arms crossed on your chest» test, and pain was assessed using a visual analog scale (VAS). The tested muscles were distributed as follows: abdominal muscles — rectus abdominis, external and internal oblique abdominal muscles on both sides; back muscles — a group of muscles that straighten the spine.
Results: 20 patients were included in the study, 14 graduated. After 2 months, there was a significant increase in the strength of the lumbo-iliac muscles (p=0.008), rectus abdominis and lumbo-iliac muscles from a supine position with the lower extremities bent at the knee joints (p=0.016), the muscles straightening the spine (p=0.018), static stability of the back muscles (p=0.033) and a significant reduction in pain (p=0.016).
Conclusion: The use of the activating thoracolumbar orthosis ORLETT OBS-300 in the mode of constant wear during the day and for up to 2 months is an effective method of influencing pain, strength indicators and stabilizing function of the muscles of the back and abdomen in patients with low-energy fracture on the background of osteoporosis.

Background: The increase in the incidence of proximal femoral fractures in older age groups and the lack of official statistics on their number in the country requires epidemiological studies.
Aim: To improve the quality of medical care for older patients, study the incidence of proximal femoral fractures in people aged 50 years and older in the population of the city of Armavir
Materials and methods: A cross-sectional retrospective study of proximal femoral fractures in individuals aged 50 years and older that occurred between January 1, 2019 and December 31, 2019 was conducted, with active identification of all cases and verification of the diagnosis according to ICD-10th revisen.
Results: In the study population, 189 cases of low-energy proximal femoral fractures were identified, the ratio of women to men was 1.8:1.0, trochanteric fractures predominated (57% versus 42%). The overall incidence of femoral fractures was 262.6 per 100,000 population; for men — 230.5, women — 285.3. In the age range of 50–69 years, the incidence of proximal femoral fractures was higher in men, and from 70 years — in women. Compared with the data from 2008–2009, the incidence of femoral fractures in men increased by 30.9%, in women — by 2.3%.
Conclusion: The identified increase in the incidence of femoral fractures indicates the need to examine men aged 50–69 for osteoporosis during a medical examination and begin treatment, which will reduce the risk of falls and fractures.

Osteoporosis is a systemic skeletal disease characterized by decreased bone mass and changes in tissue microarchitecture. The occurrence of post-traumatic fractures due to osteoporosis leads to a decrease in the quality and life expectancy of the affected population, as well as to an increase in health care costs for the treatment and rehabilitation of these patients, which makes osteoporosis a medical and social problem of the 21st century. In addition to prevention, early and complete diagnosis of osteoporosis is crucial for the initiation of timely treatment. Along with existing methods for osteoporosis diagnostics before a fracture develops: fracture risk assessment (FRAX) and bone mineral density (BMD) measurement by dual-energy X-ray osteodensitometry (DXA), new technologies are constantly being developed, including those that take into account the low availability and low mobility of DXA. An innovative method for assessing bone density and the risk of fractures is radiofrequency echographic multi spectrometry (REMS) - a non-ionizing method for scanning axial areas of the skeleton - the spine and hip. This review summarizes the studies conducted and accumulated knowledge on the use of REMS in clinical practice

Chronic kidney disease (CKD) is associated with significant disturbances in mineral and vitamin D metabolism, leading to the development of CKD-related mineral and bone disorders (CKD-MBD) and an increased risk of cardiovascular complications, fractures, and mortality. This paper reviews the mechanisms of calcium-phosphorus homeostasis and vitamin D metabolism regulation in CKD, focusing also on the roles of parathyroid hormone (PTH), fibroblast growth factor-23 (FGF-23) and the Klotho protein. Modern approaches to laboratory diagnostics and target mineral parameters in CKD patients are discussed, as well as the potential use of novel biomarkers, such as the 24,25(OH)₂D/25(OH)D ratio (VMR) and 1,24,25(OH)₃D/1,25(OH)₂D ratio (1,25VMR). This review highlights the need for further research to optimize the diagnosis and treatment of mineral disturbances in CKD patients.

Osteogenesis imperfecta is a rare disease characterized by bone fragility, frequent fractures, bone deformities, and low bone mineral density. The relative risk of bone fractures in patients with osteogenesis imperfecta is 4–6 times higher than in the general population. In adult patients with osteogenesis imperfecta, the incidence of femoral shaft fractures is approximately 35 times higher than in the general population. According to modern literature data, the preferred method of osteosynthesis in such patients is intramedullary. Osteosynthesis with plates is associated with a high incidence of complications. A case of treatment of a patient with osteogenesis imperfecta who underwent two femoral osteosynthesis operations with plates at an interval of 2.5 years is presented. The first operation was performed for a femoral shaft fracture at the height of varus deformity. The second osteosynthesis was performed for a peri-implant fracture of the proximal femur. Femoral consolidation was achieved at both levels. The presented case demonstrates that plate osteosynthesis can be effective in the treatment of femoral fractures in patients with osteogenesis imperfecta, achieving consolidation if the described surgical nuances are observed