Three children with osteogenesis imperfecta, severe osteopenia, and re
peated fractures were treated with cyclic infusions of aminohydroxypro
pylidene bisphosphonate (pamidronate) for a period ranging from 22 to
29 months. A clear clinical response was shown, with a striking reduct
ion of new fracture episodes and a marked improvement in the quality o
f the patients' lives. Bone mineral density increased significantly in
two patients, and linear growth continued along the percentile at the
start of treatment. There were no adverse effects of note during trea
tment, and further studies are warranted.