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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 343:1168-1176 October 19, 2000 Number 16
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Case 32-2000— A Boy with Vertebral Compression Fractures
Frederic D. Shapiro, and Laurence de Leval

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Presentation of Case

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 . . . [Full Text of this Article]

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Dr. Frederic D. Shapiro's Diagnosis

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