Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 2 3 2016 09 20 66 66 Gholam Hossein Kazemian Associate Professor of Orthopedi, Orthopedic Department, Shahid Beheshti University of Medical Sciences, Imam Hussein Hospital, Tehran, Iran Alireza Manafi Rasi Assistant Professor of Orthopedi, Orthopedic Department, Shahid Beheshti University of Medical Sciences, Imam Hussein Hospital, Tehran, Iran Farzad Amoozadeh Omrani Assistant Professor of Orthopedi, Orthopedic Department, Shahid Beheshti University of Medical Sciences, Imam Hussein Hospital, Tehran, Iran A Yamrali Senior Resident of Orthopedi, Shahid Beheshti University of Medical Sciences, Imam Hussein Hospital, Tehran, Iran 2019 07 18 Spontaneous fractures occur in patients with Paget disease, Multiple myelomas, and osseous metastasis. Furthermore, spontaneous fractures may be the result of physiological pressure and stress on bones with reduced elastic tenacity. In this report, we have introduced an elderly patient with multiple significant fractures without any history of a major trauma. In the discussion, we have considered important issues around the topic. https://jost.tums.ac.ir/index.php/jost/article/view/66 https://jost.tums.ac.ir/index.php/jost/article/download/66/66