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The Journal of Bone and Joint Surgery 78:472 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Jon R. Davids, M.D., Salvatore Sessa, M.D., Danièle Sommelet, M.D., Pierre Lascombes, M.D. and Jean Prévot, M.D.

TO THE EDITOR:

The article entitled "Treatment of Langerhans-Cell Histiocytosis in Children. Experience at the Children's Hospital of Nancy" (76-A: 1513–1525, Oct. 1994), by Sessa et al., correctly emphasized the role of biopsy, noting that definitive diagnosis "can only be histological; biopsy of the lesion ... is indispensable to confirm the diagnosis, even for solitary forms." However, later they noted that "in the presence of a typical vertebra plana ... a vertebral biopsy is unnecessary. In fact, it could damage the growth cartilage ... and thus prevent vertebral re-expansion." This is confusing and misleading.

Review of the literature shows that, while the radiographic appearance of vertebra plana may be typical or characteristic, there are . . . [Full Text of this Article]


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