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FISSURE FORMATION IN ARTICULAR FACETS OF THE LUMBAR SPINE Operative Findings in One Case
HERBERT E. HIPPS
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The Crippled Children Hospital, Marlin
1939 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1939; 21:289-303 
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Abstract

1. In the case presented, the operative findings definitely show that the anomaly itself was the cause of the patient's low-back pain.

2. Microscopic and gross studies of this anomalous bone show that it is not a fracture nor the result of "Umbauzonen", but that it is a definite developmental abnormality, epiphyseal in character.

3. Embryological study reveals the probability that these anomalies represent a failure of fusion of one of the normally present primary ossification centers lying at the base of the articular facet, and they probably are not anomalous ununited epiphyses or accessory bones.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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