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
Aufranc OE, Jones WN, Harris WH. Osteopenia with Fractures of Lumbar Vertebrae. JAMA. 1963;183(13):1099-1103. doi:10.1001/jama.1963.63700130018013