Although in the last decades great progress has been made concerning renal
replacement therapy, renal osteodystrophy is still of major clinical import
ance in patient; with chronic renal failure. Recently, there is a change in
the spectrum of renal osteodystrophy in favor of low turnover lesions. Rec
ent studies suggest that growth factors may be involved in the pathophysiol
ogy of the different forms of renal osteodystrophy.