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© 2020 John Wiley Sons A/S. Published by John Wiley Sons Ltd.Osteosclerotic metaphyseal dysplasia (OSMD) is an uncommon autosomal recessive sclerosing skeletal dysplasia. We report on a 34-year-old client with sandwich vertebrae, platyspondyly, osteosclerosis of this tubular bones, pathologic fractures, and anemia. In the third ten years, he developed osteonecrosis regarding the jaws, which was progressive in spite of repeated surgical treatment over a period of 11 many years. An iliac crest bone b