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September 24, 1927


JAMA. 1927;89(13):1060-1061. doi:10.1001/jama.1927.92690130006016e

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The occurrence of ostearthritis of the spine is so frequent as a complication of trauma, that the persistence of backache beyond the ordinary period of the expectancy is enough to awaken suspicion that the pains and disability are prolonged either by anatomic variations of the lower spine, or by arthritis.

In many cases, the existence of such complicating arthritis is overlooked because the ordinary gross lesions of exostoses on the corners of the bodies are looked for, while the finer changes in the intervertebral joints are overlooked.

In the case of C. A. D., a man, aged 54, who in November, 1923, was buried in a cave-in and sustained fractures of many ribs on the right side of the chest with bruises to the back, etc., and who returned to work after thirty-three days of rest but had to quit work after a few months on account of pain and

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