June 26, 1954


Author Affiliations

260 Crittenden Blvd. Rochester 20, N. Y.

JAMA. 1954;155(9):859. doi:10.1001/jama.1954.03690270055030

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To the Editor:  —We wish to answer some of the points raised by Dr. Joseph Epstein in his letter (J. A. M. A.155:62 [May 1] 1954) criticizing our paper "Vertebral Fractures as a Complication of Electroconvulsive Therapy" (J. A. M. A. 154:981 [March 20] 1954).Dr. Epstein believes that we created a false impression as to the general incidence of these fractures because we failed to consider the alleged decrease in incidence of fractures when using the Reiter technique. However, it would seem obvious that our findings, which are the result of the first statistically validated study of this type, are representative of only one particular technique of administering electroconvulsive therapy, as is described in our paper. The importance of these results is indicated by Dr. Epstein's statement that this same technique is currently in use in "many, if not the majority of hospitals." It seems, therefore, that

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