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FRACTURES OF THE TRANSVERSE PROCESSES OF THE LUMBAR VERTEBRAE:  A REPORT OF THIRTY-THREE CASES

PAUL A. QUAINTANCE, M.D.
Arch Surg. 1929;19(6):968-985. doi:10.1001/archsurg.1929.01150060030002.
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My purpose in this paper is to reemphasize certain points in the mechanism, etiology, symptoms and diagnosis of fractures of the transverse processes of the lumbar vertebrae, and to report observations, especially with reference to union and the duration of disability, on a series of thirty-three cases seen in industrial practice over a period of two years.

Little or no mention was made of these fractures in textbooks on orthopedics and fractures by Taylor,1 Albee,2 Scudder,3 Roberts and Kelly,4 Preston,5 Stimson,6 Jones and Lovett,7 Cotton8 and Whitman.9 Speed10 and Hoffman11 reported cases that were due to muscular action. Rhys,12 Hartwell,13 Davis14 and Bierman15 have written on the diagnosis and etiology of these fractures, considering both direct trauma and indirect muscular action and also the simulation of fracture by accessory lumbar ribs. Kennedy16 reported ten

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