A treatise on orthopedic surgery . The application of the jacket in the recumbent posture by means of the Gold-thwait appliance; A, the support, similar to that upon which the patient islying; B, two thin bands of steel, similar to those used in the Taylor brace. from the support, the pads being included, of course, in thejacket. An opening remains at this point that may be closed byan additional bandage. Other supports of a similar nature are in use, but as they donot differ from it in principle a detailed description is unneces-sary (Figs. 52 and 53). If the deformity is of recent origin it
A treatise on orthopedic surgery . The application of the jacket in the recumbent posture by means of the Gold-thwait appliance; A, the support, similar to that upon which the patient islying; B, two thin bands of steel, similar to those used in the Taylor brace. from the support, the pads being included, of course, in thejacket. An opening remains at this point that may be closed byan additional bandage. Other supports of a similar nature are in use, but as they donot differ from it in principle a detailed description is unneces-sary (Figs. 52 and 53). If the deformity is of recent origin it may be actually cor-rected by the leverage exerted, but in many instances the hyper-extension takes place in the unaffected parts of the spine, par- TUBEECULOUS DISEASE OF THE SPINE. 89 ticularly in the lumbar region. Thus the correction is ap-parent rather than actual. In order to prevent this and to exertmore effective leverage on the deformity Goldthwait uses theapparatus illustrated in Fig. 54. Fig. R. Tunstall Taylors apparatus for the application of the plaster jacket in therecumbent posture, consisting of an adjustable back support and pelvic rest con-nected by a sliding bar. (See Fig. 53.) The patient lies on two malleable steel bars fitted to the lum-bar region reaching only to the apex of the deformity. Theplaster bandages forming the lower part of the jacket having•been applied the upper portion of the trunk is allowed to sinkdownward to the point of toleration and the jacket is then com-pleted. The steel bars which have prevented the upward arch-ing of the lumbar region of the spine are then withdrawn. The Fig. 53.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
