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These fractures often involve the posterior portion of the vertebra, including the posterior cortex and, in some cases, the posterior arch, which can contribute to spinal instability

See Sikiric et al., Curr Pharm Des, 2018 (PMID:30246642) for an overview of the reported mechanisms, and Chang et al., J Appl Physiol, 2011 (PMID:21030673) for a representative tendon-fibroblast study

ACKNOWLEDGEMENTS This work was supported by NIH grants R01 GM064320-03, R01EY09171, R01EY010659 and R01 AI071199-01A2