A treatise on orthopedic surgery . Illustrating fixation of the head in the overextended attitude. of the disease; it should be long enough to reach well above thehead, and the crossbar should be placed directly over the ears(Fig. 46). The halter should be applied with as much tension as can beborne comfortably by the patient, so that the weight of the headmay be at least partly supported. The straps should be adjustedto tilt the chin slightly upward, the aim being to draw the headbackward and thus to extend the spine. In disease of the cer-vical region the crossbar should be fixed to check la
A treatise on orthopedic surgery . Illustrating fixation of the head in the overextended attitude. of the disease; it should be long enough to reach well above thehead, and the crossbar should be placed directly over the ears(Fig. 46). The halter should be applied with as much tension as can beborne comfortably by the patient, so that the weight of the headmay be at least partly supported. The straps should be adjustedto tilt the chin slightly upward, the aim being to draw the headbackward and thus to extend the spine. In disease of the cer-vical region the crossbar should be fixed to check lateral motion6 OBTEOPEDIC SUBGEBY. of the head, but this is unnecessaiy when it is at a lower more complete fixation of the head is desired, or if thejurj-mast is ineffective, an appliance similar to that shown inFig. 44 mav be used. This consists of two light steel bars, in-corporated like the jury-mast in the jacket, and adjusted to theneck and back of the head. Their upper extremities are joined Fig. 44. Fig. A fixation support for the may be used with the brace orwith the jacket. Front view of the same patient. by a band of light steel of U-shape, long enough to reach fromear to ear, the circumference being comiDleted by a band of tapeacross the forehead. In certain instances additional straps maybe placed beneath the chin and the occiput, as in Figs. 44 and45. In this connection it may be stated that the support pro-vided by the jury-mast is only effective when it is carefully ad-justed and constantly watched. In most instances, therefore, arigid apparatus, though less comfortable, is to be preferred. TUBEECULOUS DISEASE OF THE SPINE. 83 If the jacket is carefully fitted to the pelvis it may be a fairlyefficient support even if the disease is in the lower lumbar re-gion. If, however, the symptoms are acute with accompanyingspasm of the flexors of the thigh it should be extended to one or Fig. 45.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
