Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . this deformity which leads to confusion between spondylitis andhip-disease. In the early stages the patients shoulders are thrownback, one foot is slightly advanced, and the patient walks with care,holding his spine rigid. In the latter stages the lordosis disappears ;the child bends his back forwards and walks with an obvious stoopfrom the pelvis. TUBERCULOSIS OF THE SPINE 181 Prognosis in Spondylitis of Tuberculous Origin. Prognosis may be considered as to deformity and function, durationof life, and complicat
Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . this deformity which leads to confusion between spondylitis andhip-disease. In the early stages the patients shoulders are thrownback, one foot is slightly advanced, and the patient walks with care,holding his spine rigid. In the latter stages the lordosis disappears ;the child bends his back forwards and walks with an obvious stoopfrom the pelvis. TUBERCULOSIS OF THE SPINE 181 Prognosis in Spondylitis of Tuberculous Origin. Prognosis may be considered as to deformity and function, durationof life, and complications. Deformity and Function.—In the cervical and dorso-lumbar regionsthe deformity may be reduced or eradicated if consolidation has nottaken place. If consolidation has even commenced, increase in thedeformity may be prevented. From the first to the sixth dorsal vertebraethe deformity will probably increase by any treatment short of uninter-rupted recumbency; from the sixth to the tenth dorsal vertebrae anincrease can generally be obviated. For deformity to be prevented in. kig. 7. -CHARACTERISTIC ATTITUDE IN TUBERCULOSIS OF THE SPINE. the lumbo-sacral region recumbency in the hyper-extended position isessential. Duration.—The average duration is from two to five years. Life.—In cases under treatment the prognosis is about S per cent, ofdeaths. In untreated cases fully 30 per cent. die. Complications.— Abscesses are reabsorbed in 40 per cent, of cases ifrecumbency and local rest be assured. Abscesses are best left alone,unless accompanied by signs of mixed infection. If evacuation benecessary the surgeon should wait until the skin reddens, when asmall puncture will suffice. Abscesses that are incised early rarelyheal by first intention, and often discharge for months and even years. Paralysis.—Ninety per cent, of cases of complete paralysis recoverif the patient be kept recumbent. The average duration of the paralysis i82 TUBERCULOSIS IN INFANCY AND CHILDHOOD is six
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