Sajous's analytical cyclopædia of practical medicine . e fifth lum-bar, and yet at right angles to onethrough the middorsal region. Skiagraphs of the spine are nowoften taken in incipient scoliosis, andmany skeletal anomalies have thusbeen discovered, which often are thereal fundamental cause of the de-formity, by throwing the l)odyslightly out of balance early in life. Treatment.—This consists, first, inremoving any defect which predis-poses toward a scoliosis. If the casebe one due to paralysis, and the pa-tient is unable to hold the body up-right, artificial means must be em-ployed to maint
Sajous's analytical cyclopædia of practical medicine . e fifth lum-bar, and yet at right angles to onethrough the middorsal region. Skiagraphs of the spine are nowoften taken in incipient scoliosis, andmany skeletal anomalies have thusbeen discovered, which often are thereal fundamental cause of the de-formity, by throwing the l)odyslightly out of balance early in life. Treatment.—This consists, first, inremoving any defect which predis-poses toward a scoliosis. If the casebe one due to paralysis, and the pa-tient is unable to hold the body up-right, artificial means must be em-ployed to maintain it in an erectposition. The same is true in somerachitic cases. The most importantpoint in treatment is to detect thelateral curvature very early and toprevent bony deformity, rather thanto remove the latter after it hasbecome marked. If the patient is distorted to anyappreciable extent, force must beused to press the bones back towardthe straight line as far as doing this, both longitudinal trac-tion and rotation are necessary. The. Lateral curvature of spine, with markedrotation. (R. IT. Sayrc.) most convenient method of employinglongitudinal traction is for the patientto suspend herself partially by meansof a head-collar fastened to a cross-bar and hanging from a beam by acompound pulley, the end of thepulley-rope being held by the patient, 280 SPINE, DISEASES AND INJURIES OF (SAYRE). who, keeping her arms extended totheir fullest extent, lifts herself bydeg^rees, hand over hand, until herheels are clear of the floor, thus sus-pending- almost the entire weight ofthe body on her head and arms. The
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
