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A boy who was six years and five months old was admitted to the hospital because of vertebral compression fractures.
The boy had been well until six months earlier, when he began to have back pain after falling on his back. The pain was intermittent initially, but gradually became constant. One month before admission, he fell again, and the back pain worsened. Radiographs of the spine (Figure 1) showed considerable demineralization, with compression fractures of T11, L1, L3, and L4. The signal intensity in the marrow was uniform throughout the spine. A magnetic resonance imaging (MRI) examination of
Differential Diagnosis
Clinical Diagnosis
Dr. Frederic D. Shapiro's Diagnosis
Pathological Discussion
Anatomical Diagnosis
References
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