Modern surgery, general and operative . ular rigidity exists, we may be sure that the cord is notcompletely di\-ided. When the cord is completely divided the s^onptomsare immediate, there are absolute flaccid motor paralysis and complete sen-sory paralysis (loss of appreciation of pain, touch, and temperature). The 854 Surgery of the Spine line of anesthesia is definite and suddenly terminates (Walton). The bladderand rectum are paralyzed and there may be priapism. All the reflexes, su-perficial and deep, except, perhaps, the plantar have disappeared. There ispain, there are no muscular spasms
Modern surgery, general and operative . ular rigidity exists, we may be sure that the cord is notcompletely di\-ided. When the cord is completely divided the s^onptomsare immediate, there are absolute flaccid motor paralysis and complete sen-sory paralysis (loss of appreciation of pain, touch, and temperature). The 854 Surgery of the Spine line of anesthesia is definite and suddenly terminates (Walton). The bladderand rectum are paralyzed and there may be priapism. All the reflexes, su-perficial and deep, except, perhaps, the plantar have disappeared. There ispain, there are no muscular spasms,there is vasomotor paralysis withsweating of the paralyzed parts, andthe symptoms persist and do notvary (J. J. Thomas, in BostonCity Hospital Med. and Surg. Re-ports) . There is usually tympanites(Walton). If this latter symptom-group is due to shock, it will usuallybe temporary, but occasionally, evenwhen so caused, it persists someconsiderable time. It is also prob-able that concussion of the cord mayin some cases simulate complete. Fig. 545.—Fracture of the cervicalspine, cord compressed by bone and into the cord at the seat ofthe lesion and below the lesion (WarrenMuseum). (From Scudders Treatmentof Fractures. Drawn by Byrnes.)
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
