A practical treatise on fractures and dislocations . r. Thompson, ofGoshen, N. Y., reports also a fracture of either thethird or fourth lumbar vertebra, followed by patient fell from the roof of a house, striking first upon his feet and thenupon his buttocks. The usual signs of a fracture were present, such as paralysis,etc. A bedsore formed above the top of the sacrum, and a piece of bone exfoli-ated, which seemed to belong to the last lumbar vertebra. He was confined tohis bed seven months. After eighteen months he began to use crutches. At theend of about three years all improv
A practical treatise on fractures and dislocations . r. Thompson, ofGoshen, N. Y., reports also a fracture of either thethird or fourth lumbar vertebra, followed by patient fell from the roof of a house, striking first upon his feet and thenupon his buttocks. The usual signs of a fracture were present, such as paralysis,etc. A bedsore formed above the top of the sacrum, and a piece of bone exfoli-ated, which seemed to belong to the last lumbar vertebra. He was confined tohis bed seven months. After eighteen months he began to use crutches. At theend of about three years all improvement ceased, at which time he could notquite stand alone; yet, with the aid of apparatus, he was able to get about thecountry and vend books, prints, etc. This was also his condition one [Chisholm, of New Concord, O., reports a case of fracture and displacementof the third lumbar vertebra. There seems to have been a marked prominenceof the spinous process, with paralysis of motion. Gradual recovery took placewithout active ]. Keys case of fracture of thefirst lumbar vertebra. 1 Shaw, London Med. Gaz., vol. xvii. 2 Brodie, Sir Ast. Cooper on Disloc, op. cit., p. 471. 3 Thompson, Amer. Journ. Med. Sci., Oct. 1857. Lentes paper.* Med. Brief, St. Louis, March, 1889. FRACTURES OF THE BODIES OF THE VERTEBRAE. 151 2. Fractures of the Bodies of the Dorsal Vertebrae. Fig. 64. In these examples the same organs are paralyzed as in the fractureslower down, in addition to which there is generally considerable disturb-ance of the functions of respiration, irregular action of the heart, indi-gestion, accompanied with a tympanitic state of the bowels. In Sir Astley Coopers cases, mention is made of a fracture of the twelfthdorsal vertebra, which the patient survived fifty-two days, one of the tenthdorsal, which terminated fatally in six days,and another of the ninth dorsal, which didnot result in death until after nine Parkman presented to the Boston Societyfo
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