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Osteopenia with Fractures of Lumbar Vertebrae

Otto E. Aufranc, MD; William N. Jones, MD; William H. Harris, MD
JAMA. 1963;183(13):1099-1103. doi:10.1001/jama.1963.63700130018013.
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Dr. W. H. Harris: A 78-yr-old female was admitted to the Phillips House complaining of pain in her back of approximately 10 days duration. Her significant medical history dated back 1 yr, at which time she sustained a right femoral neck fracture. A hip nailing was carried out at that time with the complication of wound sepsis. She was transferred to our hospital 6 weeks later; the nail was removed, and a debridement was carried out. The wound healed satisfactorily. Four months later she had a thorough debridement of her hip, removal of the necrotic femoral head, and a Vitallium cup arthroplasty was carried out. The wound healed per primam and remained dry. At the time of the onset of her low-back pain she was walking with a walker and doing exercises, including the use of an exercise bicycle, in her own apartment.

There was no significant trauma associated with

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