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The International Society of Clinical Densitometry released a position statement defining the parameters for the diagnosis of osteoporosis in children in 2008. However, over the past decade there have been advances in the diagnosis and diagnostic classifications for osteoporosis in children. The risk of fracture associated with low BMD, the evaluation of osteoporosis, and treatment options in children are less well defined. This article addresses the anatomy and structure of bone and bone metabolism, the clinical assessment of bone mass, the causes of osteoporosis and its evaluation and treatment in children with CP. Preventing or improving osteoporosis and maximizing bone accrual during critical stages of growth will minimize the future lifelong risks of fractures in children with CP. Bone density is significantly decreased, and children with CP often sustain painful fractures with minimal trauma that impair their function and quality of life. CP is the most prevalent childhood condition associated with osteoporosis. Osteoporosis evaluation and prevention is relevant to children with cerebral palsy (CP). Because the foundation for skeletal health is established so early in life, osteoporosis prevention begins by optimizing gains in bone mineral throughout childhood and adolescence. Accrual of bone mass occurs throughout childhood and early adulthood, and peak bone mass is a key determinant of the lifetime risk of osteoporosis. Despite advances in treating osteoporosis in the elderly, no cure exists. 1 Osteoporosis remains a major health problem worldwide, costing an estimated $13.8 billion in health care each year in the United States. The Cynthia Rowley and Blade company logos are overlaid across screen.Osteoporosis is a skeletal disorder characterized by compromised bone strength predisposing a person to an increased risk of fracture.
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The door of the plane raises up and she climbs into the plane.Upon reaching the seaplane she pulls herself out of the water onto one of the plane’s pontoons and taps on the door of the plane.She swims as fast as she can to the seaplane.She runs into the ocean and starts swimming to toward the seaplane.She takes off her shoes and sunglasses, and throws down her bag, abandoning her things.She takes of the dress she is wearing which reveals a red one piece swimsuit underneath.She looks for the seaplane and starts waving at it.She pulls her bike up to jetty and hops off.
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