. Lateral curvature of the spine and round shoulders . ant curve setting its type on the clinical appear-ance. The right dorsal left lumbar curve is the one most frequentlyseen. Dorsal scoliosis with compensating curves formed 30 per cent,of all cases in the Schulthess tables, and of these the dorsal curvewas to the right in 80 per cent, of the cases. The greatest pointof curve in these was from the sixth to the eighth dorsal vertebra, and 62 DESCRIPTION AND SYMPTOMS. the most frequent reverse curve associated was in the lumbar is a type of curve most frequently seen in older childre


. Lateral curvature of the spine and round shoulders . ant curve setting its type on the clinical appear-ance. The right dorsal left lumbar curve is the one most frequentlyseen. Dorsal scoliosis with compensating curves formed 30 per cent,of all cases in the Schulthess tables, and of these the dorsal curvewas to the right in 80 per cent, of the cases. The greatest pointof curve in these was from the sixth to the eighth dorsal vertebra, and 62 DESCRIPTION AND SYMPTOMS. the most frequent reverse curve associated was in the lumbar is a type of curve most frequently seen in older children, the bulk ofthe cases being from ten to sixteen years old, but it may be seen in veryyoung children. The increased susceptibility to compound curveswith increasing vears is shown bv Scholders statistics of school children: years old per cent. 1314 . . ■3-3■3-3 Women are more frequently affected than men, the proportion being 7 to i. The appearances shown in theilkistration (Fig. 49) will serve todemonstrate how the appearances. Fig. 50.—Dorsal Rotation Shown evProminenck of Right Side in Bend-ing Forward. (See Fig. 49.) Fig. 51.—Lumbar Rotation Shown byProminence of Left Side in Bend-ing Forward. (See Fig. 49.) of two types of simple scoliosis are brought together in the same a right dorsal left lumbar curve, the appearances of the thorax arethose described for a simple dorsal curve, but the overhang of thethorax is modified by the displacement of the lower trunk in theopposite direction incident to the left lumbar curve. The resultantposition may be, as in the simple curves, either accompanied by anincrease or diminution of the physiological curves. That scoliosis may change in type from one clinical picture to anotherin the same patient in the course of years is well established. Notonly does the total curve frequently change to a compound type asmentioned, but the structural curves change most frequently by the COMPOUND STRUCTURAL CURNE


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