Concurrent Axial and Appendicular Osteoporosis

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Abstract
OSTEOPOROSIS of aging has long been recognized as a disorder primarily of the dorsolumbar spine. Evidence that bone loss with age also occurs in the appendicular skeleton has been summarized by Garn and his associates1 and extended by them and by other investigators.2 3 4 5 However, the relation of peripheral bone to vertebral atrophy has received only limited attention.2 , 4 Not only is the concept that this osteoporosis results from an osteoblast-matrix defect secondary to hormonal imbalance6 still to be proved but interest has been redirected to the earlier point of view that a calcium consumption inadequate to permit a positive mineral balance . . .

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