Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . rom osteo-myelitis or other non-tuberculous disease, the abscess should be opened,necrosed bone removed and drainage established (see Abscess, Vol. I,page 251). Abscess connected with the bodies is reached the same astuberculous abscess (see page 335). Tuberculosis of the Spine (Tuberculous Spondylitis, Potts Disease).—The general treatment is the same as that for tuberculosis elsewhere (seeTuberculosis, Vol. I, page 276). Local treatment is aimed to secure thebes
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . rom osteo-myelitis or other non-tuberculous disease, the abscess should be opened,necrosed bone removed and drainage established (see Abscess, Vol. I,page 251). Abscess connected with the bodies is reached the same astuberculous abscess (see page 335). Tuberculosis of the Spine (Tuberculous Spondylitis, Potts Disease).—The general treatment is the same as that for tuberculosis elsewhere (seeTuberculosis, Vol. I, page 276). Local treatment is aimed to secure thebest possible immobilization, to hold the vertebrae in good position pre-paratory to the inevitable ankylosis, and to relieve as much as possible thesoftened bones from superimposed weight. Immediate, forcible and com-plete correction is no longer used. Gradual correction of the deformity isbest. Treatment by recumbency is usually employed in children under five years ofage, in all very acute cases, in cases with much pain, in cases which have notdone well in the upright position, in cases with abscess, paralysis or threatened. Fig. 1021.—The Reclining Plaster-bed, in the Treatment of Tuberculosis Spondylitis. paralysis, in dangerously high cervical disease, and in cases with pronouncedlateral curvature. For all classes of cases it gives more effective rest to thediseased parts. Its objection is that it confines the patient closely. Hori-zontal fixation should be in a position of overextension, thus placing thepressure upon the articular processes and taking it from the bodies. In theadult, horizontal fixation is not so essential because the spine is more rigidand can be held by appliances which do not necessitate confinement in , young children tolerate recumbency better than adults. For securing horizontal fixation my former teacher in Vienna, Lorenz,made a reclining plaster-bed. The patient was placed upon its abdomenwith the shoulders and pelvis slightly elevat
Size: 3098px × 807px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
