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Journal of Bone and Joint Surgery, 1948;30:982-987.
© 1948 by The Journal of Bone and Joint Surgery, Inc

BONE DISTURBANCES IN INJURIES TO THE SPINAL CORD AND CAUDA EQUINA (PARAPLEGIA)

Their Prevention by Ambulation

Arthur S. Abramson M.D.1

1 Veterans Administration Hospital, Bronx

1. Bone atrophy occurring in paraplegia is of an osteoporotic nature.

2. There is close association of urinary calculi and soft-tissue ossifications with the excessive calcium mobilization from the bones.

3. If calcium could be held in bone, urinary calculi, soft-tissue ossifications, and pathological fractures could be prevented.

4. Pressure produces bone matrix, thus allowing the deposition of calcium.

5. The only logical therapeutic agent which applies pressure intermittently is ambulation.


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