Abstract:Osteoporosis is a major bone health problem worldwide, and the interaction between bone tissue and the nervous system is crucial for bone health. A large number of clinical and basic studies have focused attention on the impact of the sympathetic nervous system on osteoporosis, and it has been confirmed that increased sympathetic nerve tone is harmful to bone quality and the microstructure and function of bone trabeculae. Therefore, we reviewed the role of the sympathetic nervous system in the pathogenesis of osteoporosis, summarized the various molecular mechanisms of the sympathetic nerve affecting osteoporosis, and investigated the role of the sympathetic nerve in different types of osteoporosis from different angles, providing new ideas for the prevention and treatment of osteoporosis.