A treatise on orthopedic surgery . ears, presenting the char-acteristic deformity and symptoms of the subacute type, gavethe following account of the affection: Fifteen years before hehad suffered from chronic lumbago. The pain and stiffness,at first limited to the lower region of the spine, had, with inter-vening periods of remission, gradually ascended, and at the timeof examination the cervical region was the seat of the moreactive process. He had been treated by internal remedies, bybaths, and by change of climate, without avail. He knew hehad the old mans stoop, but he was surprised to le
A treatise on orthopedic surgery . ears, presenting the char-acteristic deformity and symptoms of the subacute type, gavethe following account of the affection: Fifteen years before hehad suffered from chronic lumbago. The pain and stiffness,at first limited to the lower region of the spine, had, with inter-vening periods of remission, gradually ascended, and at the timeof examination the cervical region was the seat of the moreactive process. He had been treated by internal remedies, bybaths, and by change of climate, without avail. He knew hehad the old mans stoop, but he was surprised to learn thatthe cause of his symptoms was a disease of the spine. Thespine was rigid, although not anchylosed, as indicated by thediscomfort on changing from one position to another. The NON-TUBERCULOUS AFFECTIONS OF THE SPINE. 139 occipitoaxoid articulations and the other joints were free fromdisease. This subacute form of the affection is very common, and, asin this instance, the patients are usually treated for rheumatism, Fig. Extreme posterior curvature of the spine in adolescence, sliowing retraction ofthe abdomen. This deformity may be mistalien for spondylitis deformans. muscular or otherwise, for many years before the true diag-nosis is made. Treatment.—The general treatment, dietetic, climatic and thelike, should include if possible the removal of the excitingcauses, persistent gonorrhoea in the younger subjects being ap-parently the most common of these. The local treatment issymptomatic. Massage of the muscles, hot baths, and the likemay add to the comfort of the patient, but violent exercise orpassive movements of the spine are harmful. Support is always 140 ORTHOPEDIC SUEGEBY. indicated during the progressive stage of the , and it isthe only efficient remedy. The support may be in the form ofa light brace or jacket. It is particularly efficacious when thedisease is limited to the lower and middle regions of the such cases under efficient prot
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