A treatise on orthopedic surgery . idity is dueto reflex spasm. Sciatica.—The pain of sciatica is most often unilateral; itis usually confined to the distribution of this nerve, which isoften sensitive to pressure throughout its course. The pain ofPotts disease, if it is referred to the limbs, is usually bilateraland the nerve trunks are not often sensitive to pressure. Insciatica, movements of the limbs that cause tension on the nerveare often painful, while motion of the spine is free, or butslightly restricted, the reverse of the symptoms of Potts is true that lateral deviation a
A treatise on orthopedic surgery . idity is dueto reflex spasm. Sciatica.—The pain of sciatica is most often unilateral; itis usually confined to the distribution of this nerve, which isoften sensitive to pressure throughout its course. The pain ofPotts disease, if it is referred to the limbs, is usually bilateraland the nerve trunks are not often sensitive to pressure. Insciatica, movements of the limbs that cause tension on the nerveare often painful, while motion of the spine is free, or butslightly restricted, the reverse of the symptoms of Potts is true that lateral deviation and even rigidity of the lumbarspine are sometimes observed in cases of lumbosciatic neuralgiaof long standing, but if the latter symptom is marked thediagnosis may be regarded as open to question. TUBEBCULOUS DISEASE OF THE SPINE. 47 Spondylitis Deformans.—This disease is practically con-fined to adult life and is far more often mistaken for lumbagothan for tuberculous disease. It is described in detail in Chapter II. Fig. Disease of the lower dorsal region. The earliest indication of deformity. Spondylolisthesis.—This is a very uncommon affection inearly life. It may simulate disease at the lumbosacral articu-lation. A description of its peculiarities will be found in Chap-ter II. Saceoiliac Disease.—Sacroiliac disease is far more likelyto be mistaken for disease of the hip-joint than of the spine;the pain and sensitiveness are usually localized about the seatof disease and the movements of the spine are not restricted,except in cases of long standing. 48 OBTHOPEDIC SUBGEEY. Lumbago, sciatica, and sacro-iliac disease are extremely un-common in childhood, and if supposed strains or injuries of theback cause persistent symptoms, the appropriate treatmentwould be similar to that of Potts disease; that is to say, thesusj)ected part should be supported until the cause of the symp-toms is made clear. The attitude characteristic of Potts disease of this region,the hollow
Size: 1123px × 2225px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
