A treatise on orthopedic surgery . yed during the hours when the passive atti-tude must be assumed (Fig. ITl). Shoulder braces, so-called,are useless, because the lumbar lordosis is increased when theshoulders are drawn backward. Clothing should not restrictthe movements of the arms or trunk, and as little weight aspossible should be suspended from the shoulders. In the moreextreme cases a Calot jacket should be applied as described inthe chapter on Potts disease. If the kyphosis is of long dura-tion and rigid, as in adolescent cases, forcible manipulation DEFORMITIES OF THE SPINE. 229 under a
A treatise on orthopedic surgery . yed during the hours when the passive atti-tude must be assumed (Fig. ITl). Shoulder braces, so-called,are useless, because the lumbar lordosis is increased when theshoulders are drawn backward. Clothing should not restrictthe movements of the arms or trunk, and as little weight aspossible should be suspended from the shoulders. In the moreextreme cases a Calot jacket should be applied as described inthe chapter on Potts disease. If the kyphosis is of long dura-tion and rigid, as in adolescent cases, forcible manipulation DEFORMITIES OF THE SPINE. 229 under ansesthesia may be of service before applying the treatment by manipulation, exercise and posture iscontinued as in cases of the ordinary type. Whenever a patientis imder treatment for deformity of the trunk the attempt shouldbe made to restore the proper relation of the body and limbs,and thus to restore the general symmetry of the body. Atten-tion is again called to weak feet as the most common and im- FlG. Lordosis caused by spondylolisthesis. portant accompaniment and predisposing cause of deformitiesof this class. Lordosis.—Lordosis, or an abnormal hollowness of the back,is far less common than kyphosis. It is not a simple posturaldeformity, but it is usually secondary to disease or deformityeither of the spine or of the adjoining members. For example,lordosis may be induced by flexion contraction of the thighs;it is a symptom of congenital displacement of the hips; it issometimes a result of certain forms of nervous disease, in which,because of muscular weakness, the body is swayed backward to 230 OETHOFEDIC SUBGEBT. retain tlie balance, as in the muscular dystrophies. Lordosisin the lumbar region may be a compensation for a kyphosis inthe upper segment. It is caused directly by may be a congenital deformity, and it is said to be a pecu-liarity of contortionists (Fig- 172). Treatment.—As lordosis is usually a secondary defor
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
