. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. Fig. 73. Pagets Disease with Long Cervico-Dorso-Lumbar Kyphosis.(Courtesy of Dr A. D. Atkinson.) If present in the spine^ the symptoms are severe as else-where, the pain and paralysis from pressure on the nervesand cord are constantly present, the course is rapid, thecachexia as shown by the general appearance, anaemia and 160 ORTHOPEDIC SURGERY, systemic depression is noticeable. Early dissolution maybe anticipated. No remedies save anodynes are of
. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. Fig. 73. Pagets Disease with Long Cervico-Dorso-Lumbar Kyphosis.(Courtesy of Dr A. D. Atkinson.) If present in the spine^ the symptoms are severe as else-where, the pain and paralysis from pressure on the nervesand cord are constantly present, the course is rapid, thecachexia as shown by the general appearance, anaemia and 160 ORTHOPEDIC SURGERY, systemic depression is noticeable. Early dissolution maybe anticipated. No remedies save anodynes are of service,and mechanical appliances are helpful if fixation is perfect,in the relief of pain, and the kyphosis, so characteristic intuberculosis of the spine, is not present; one rather finds in. Fig. 74. Osteo-Sarcoma of the and Adjacent Ribs Involved. Fourth to Eighth Dorsal VertebralLittle or no Posterior Curvature. lumbar disease on palpation in the abdomen the largegrowth. If the contour of the spine is changed posteriorly itis rather as a rounded tumor mass than as an acute angularcurvature. (^Fig. 74.)- NON-TUBERCULOUS DISEASES OF THE SPINE. 161 9. Traumatisms to the Spine. Severe sprains, slight or severe fractures of the spine mayoccur, especially in the cervical region as from diving acci-dents, but recumbency and supports together with headtraction in bed will clear up the diagnosis of traumaticcases in a comparatively short time, especially when takenin conjunction with the history of immediate onset of thetrouble after an accident, in contradistinction to the gradualonset in tuberculous disease. Fracture in the dorsal region, according to Kumme?®with symptoms of pain and weakness may result in a roundedangular deformity like Potts Disease, which in u
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