Hypothesis: one-dose pamidronate will prevent post-operative bone loss in children at risk for low bone density Plan: children with chronic disease such as CP, spina bifida, etc. will be recruited pre operatively and studied with DXA scan. After surgery, children will be randomized to receive either pamidronate or saline. Repeat DXA scan will determine bone lost after end of immobilization or nonweightbearing.
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Amount of Bone Density Lost (%) From pre-to Post-operative DXA Scan
Timeframe: Preoperative to post-operative DXA scan (4-12 weeks)