A treatise on orthopedic surgery . t often in several minute focinear the upper or lower epiphysis. Thesecoalescing, gradually enlarge, forming acavity, surrounded for a time by unbrokenDestruction of the cortical substance, which finally collapses bodies of the first, sec- , ond and third lumbar under the pressure 01 the superincumi:»eutvertebrse—with the re- ^ei^fit. Occasiouallv the disease advances suiting deformity. (Me- , ^ , , • \- nard.) beneath the anterior ligament without im- plicating deeply the substance of the bone—a form of tuberculous periostitis, spondylitis


A treatise on orthopedic surgery . t often in several minute focinear the upper or lower epiphysis. Thesecoalescing, gradually enlarge, forming acavity, surrounded for a time by unbrokenDestruction of the cortical substance, which finally collapses bodies of the first, sec- , ond and third lumbar under the pressure 01 the superincumi:»eutvertebrse—with the re- ^ei^fit. Occasiouallv the disease advances suiting deformity. (Me- , ^ , , • \- nard.) beneath the anterior ligament without im- plicating deeply the substance of the bone—a form of tuberculous periostitis, spondylitis intervertebral disks appear to offer some resistance tothe extension of the disease from one vertebra to another, butwhen the bone is destroyed on either side they quickly disin-tegrate and disappear. The posterior part of the spinal columnusually remains free from disease, with the exception of thepedicles and articulations that may be in direct contact with rare instances the process in a lamina or spinous. TUBERCULOUS DISEASE OF THE SPINE. 19 process, or in one of the small joints; but snch forms of localtuberculosis could bardly be classed as Potts disease. The course and outcome of the disease depend upon its one instance the area of primary infection is small and thelocal resistance is sufficient to check its further progress, so that Fig. 2.


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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910