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Age Ageing. 1992 Mar;21(2):139-41.

Pathogenesis of vertebral crush fractures in men.

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  • 1Department of Medicine (Geriatrics), University of Newcastle upon Tyne, Newcastle General Hospital.


In a series of 70 men with vertebral crush fractures, 38 (54%) were found to have an underlying secondary cause of osteoporosis such as hypogonadism (16%), oral steroid therapy (13%), neoplastic disease (9%), excess alcohol consumption (6%), gastric surgery (1%) or a combination of these factors (10%). The diagnosis of secondary osteoporosis was not always apparent from the clinical history and physical examination, suggesting that appropriate investigations should be performed in all men with vertebral crush fractures.

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