Lectures on orthopedic surgery . Fig. 5.—Rigid lumbar spiue in commeuciug spondylitis before Ihe appear-ance;of angular deformity. Downward pressure and concussion upon the head,and sudden twisting of the spine by wrenching at theshoulders w^hen the patient is off his guard, are testsas unnecessary as harmful. They will not be found tobe of any value in the very early period and canscarcely fail to inflict injury as well as pain when thedisease is at all well advanced. 23 Sooner or later deformity of the spine appears, anda lateral curvature, with or without twisting of the ver-tebn\?—rotation
Lectures on orthopedic surgery . Fig. 5.—Rigid lumbar spiue in commeuciug spondylitis before Ihe appear-ance;of angular deformity. Downward pressure and concussion upon the head,and sudden twisting of the spine by wrenching at theshoulders w^hen the patient is off his guard, are testsas unnecessary as harmful. They will not be found tobe of any value in the very early period and canscarcely fail to inflict injury as well as pain when thedisease is at all well advanced. 23 Sooner or later deformity of the spine appears, anda lateral curvature, with or without twisting of the ver-tebn\?—rotation—often appears before kyphosis, theso-called angular curvature, makes its appearance,[f but one, two, or three vertebrae be affected, and if the. Fi(i. C—Lateral deformity preceding angular deformity in commencingspondylitis. destructive process has been considerable, the deformityfairly approximates an angle; but if several vertebraeare diseased each to only a slight degree, the deformitywill be a curve. 24 Motor paraplegia, affecting both lower extremitiesand at times the bladder and rectum, and at times alsothe upper extremities, may come on before the bonydeformity, or with the bony deformity, or comparativelylate in the disease. It is generally due to thickening
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
