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hx of oesteoporosis or osteopenia

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deformity/tenderness of palpation of Midline/Cx spine

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deformity/tenderness of palpation of Midline/Cx spine

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Autoimmune conditions

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Man> woman

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Rural area of living

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history of prev cancers - prosate, breast, lung, kidney, thyroid

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history of prev cancers - prosate, breast, lung, kidney, thyroid

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multi-segmental nerve roots, or bilateral neuro signs

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multi-segmental nerve roots, or bilateral neuro signs

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long-term hospital stay