A practical treatise on fractures and dislocations . nous process belongingto the broken vertebra; in the second examplethe spinous process of the broken vertebra isdepressed, and the process of the vertebranext below is relatively prominent. In a pretty large proportion of cases alsothe fracture of the body of the vertebra iscomplicated, as we have already stated, witha fracture of the arches, in some instanceswith a fracture of the oblique processes, andwith a dislocation. Symptoms.—Severe pain at the seat of frac-ture, felt especially when the part is touchedor the body is moved, tenderness
A practical treatise on fractures and dislocations . nous process belongingto the broken vertebra; in the second examplethe spinous process of the broken vertebra isdepressed, and the process of the vertebranext below is relatively prominent. In a pretty large proportion of cases alsothe fracture of the body of the vertebra iscomplicated, as we have already stated, witha fracture of the arches, in some instanceswith a fracture of the oblique processes, andwith a dislocation. Symptoms.—Severe pain at the seat of frac-ture, felt especially when the part is touchedor the body is moved, tenderness, swelling,ecchymosis, occasionally crepitus, a slight oblique fracture of the bo jepangular distortion of the spine, or simply a of a vertebra. trifling irregularity in the position of the pro-cesses, and paralysis of all the parts whose nerves take their originbelow the fracture, are the usual signs of the accident. The paralysis may be due to the mere pressure of the displacedfragments, but it is much more often due to a severe and irreparable. 156 FRACTURES OF THE VERTEBRA. lesion of the cord itself. I have, in one instance, seen the cord almostcompletely separated at the point of fracture, although the displacementof the fragments was inconsiderable. Accompanying the paralysis of the bladder, there has been generallyobserved an alkaline state of the urine, and subacute inflammation ofthe coats of the bladder. Priapism is present in a certain proportionof cases. Those who die immediately seem to be asphyxiated; while thosewho die later seem to wear out from general irritation, this conditionbeing frequently accompanied with an obstinate diarrhoea and vomit-ing. A few become comatose before death. It will be seen, moreover, that a certain proportion finally recover;but scarcely ever are all the functions of the limbs and of the bodycompletely restored. We shall render this part of our description of these accidents moreintelligible if we regard them as they occur in the va
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
