Bone Health Program
Lurie Children’s Bone Health Program is the only comprehensive, multidisciplinary pediatric bone health program in a free-standing children’s hospital in Illinois. Our Bone Health Program aims to provide high quality, comprehensive, compassionate, family-centered care to patients with bone disease using a multidisciplinary approach. We aim to serve children with a wide range of bone disorders, including healthy children with fractures, children with genetic and/or metabolic bone disease, and children with bone complications from another underlying disease or its treatment. Bone disorders such as multiple fractures and juvenile osteoporosis can harm a child’s healthy skeletal development, mobility, appearance, and self-esteem, and we recognize the importance of caring for these disorders early in a child’s life.
Our Bone Health Program treats children and adolescents with health issues related to the following:
- Bone mineral density and bone mass
- Bone fracture
- Bone deformity
- Bone strength
- Bone formation and growth
- Bone length differences
- Bone pain
Our goal is to help children have the best possible skeletal growth and bone quality. This is especially important in the first two decades of life when bone growth and formation are rapid. Our patient outcomes include:
- Increased bone mineral density leading to stronger bones
- Reduced risk of bone fracture
- Decreased inflammation and pain
- Improved skeletal growth, posture and comfort
- Increased activity and mobility
- Improved quality of life and long-term health
- Decreased risk for fragility fractures as an adult
The Lurie Children's Difference
We treat the whole child — not just a bone in their arm or leg. Our approach is thorough, family-centered and team-oriented. Our specialists explore a variety of factors, including family history, medical history, medications, genetics, lifestyle, nutrition, mobility and fitness to identify and treat the cause of your child’s bone problems. Based on their needs, your child will have access to a skilled and coordinated team of doctors, nurses, therapists and technicians from many specialties.
Conditions We Treat
- Fibrous dysplasia
- Fragility fractures
- Generalized arterial calcification of infancy (GACI)
- Hereditary multiple osteochondromas
- Low bone density
- McCune-Albright syndrome
- Metabolic bone disease
- Multiple fractures
- Osteogenesis imperfecta
- Idiopathic juvenile osteoporosis
- Corticosteroid induced osteoporosis
- Secondary osteoporosis (related to underlying health conditions such as cancer treatments, epilepsy treatments, cerebral palsy; neuromuscular disorders such as spinal muscular atrophy or Duchenne muscular dystrophy; inflammatory bowel disease or hyperthyroidism)
- X-linked hypophosphatemic rickets
- Hereditary hypophosphatemic rickets with hypercalciuria
- Vitamin D “resistant” rickets due to 1α hydroxylase deficiency
Related disorders include:
Leslie Gamez-Gallo, APRN-NP, MSN, CPNP
Leslie Gamez-Gallo is a pediatric nurse practitioner in the Bone Health Program. Leslie is focused on optimizing bone health in our patients who visit the Muscular Dystrophy Association (MDA) multidisciplinary clinic.
Joseph A. Janicki, MD
Dr. Janicki is an attending physician in the Division of Orthopaedic Surgery and Assistant Professor of Orthopaedic Surgery at Northwestern University Feinberg School of Medicine. He currently serves as the co-director of the Bone Health Program. He has a number of grant-funded bone health research initiatives.
Meghan Kostyk, APRN-NP, MSN, CPNP, CCD
Meghan Kostyk is a pediatric nurse practitioner in the Division of Orthopedic Surgery and an important resource for every family participating in the Bone Health Program. She has experience in care of children in both primary care and specialty care, allowing her to provide thorough evaluation and treatment of the whole child. She is part of the Muscular Dystrophy Association (MDA) multidisciplinary clinic. She is a certified clinical densitometrist by the International Society of Clinical Densitometry (ISCD).
Jennifer L. Miller, MD, CCD
Dr. Miller is an attending physician in the Division of Endocrinology and Assistant Professor of Pediatrics at Northwestern University Feinberg School of Medicine. She specializes in children’s bone health, seeing patients in the inpatient and outpatient settings, and working with a national Pediatric Bone Health Learning Network to improve the care and outcomes all children with bone health concerns or conditions. She is also a certified clinical densitometrist by the International Society of Clinical Densitometry (ISCD).
Carla V. Quijano, MD
Dr. Quijano is an Assistant Professor-of Radiology at Northwestern University, Feinberg School of Medicine, based at Ann & Robert H. Lurie Children's Hospital of Chicago. She has been in practice for over 10 years, currently serving as the section head of Nuclear Medicine in the department of Medical Imaging.
Jonathan D. Samet, MD
Dr. Samet is an Assistant Professor of Radiology at Northwestern University Feinberg School of Medicine, primarily based at Ann & Robert H. Lurie Children's Hospital of Chicago, serving as the section head of pediatric musculoskeletal radiology. He also works in the adult musculoskeletal radiology section at Northwestern Memorial Hospital. He trained in Diagnostic Radiology at Northwestern University followed by subspecialization in musculoskeletal radiology at The Johns Hopkins Hospital. He studies nerve imaging with MRI neurography and ultrasound, bone/soft tissue tumors, and bone marrow composition.
What to Expect
Our treatment begins with your child’s bone evaluation. Our team will help you through some or all of the following assessments at your visit:
- Medical and family history review
- Laboratory/blood work studies
- Urinalysis and urine testing
- Dual-energy bone scan (DXA scan)
- Bone age measurement (x-ray)
- Skeletal survey (several x-rays)
You should expect to meet with at least one member of the bone health team (physician or advanced practice provider). They will discuss the needed testing and results of the bone evaluation with you and present an individualized plan for your child’s treatment. Other team members that you may meet might include nurses, social workers or dieticians.
Make an Appointment
Please call 1.800.543.7362 (1.800.KIDS DOC). Please know that your child or patient may be scheduled with Endocrinology, Nephrology or Orthopaedic Surgery and Sports Medicine based on the intake provided.
For return visits with the Orthopaedic Surgery and Sports Medicine team, please call 312.227.4030. For return visits with the Endocrinology team, please call 312.227.6090.
If you want to learn more about the program or have questions about a referral, please call 312.227.6190.
Visit the NIH Osteoporosis and Related Bone Diseases National Resource Center to learn more about bone health.