Spinal disease and spinal curvature : their treatment by suspension and the use of the plaster of Paris bandage . the entii^e length of thespinal column, and be bent into all the sinuosities, so that a per-fect outline of the deformity may be taken. This strip shouldthen be laid upon papei, and its outline marked with ink, sothat an accurate contoirr is presented of all the irregularitiesalong the spinal column. After the patient has been suspended,the same strip of lead should again be closely applied along thespinous processes, and another tracing made upon paper by theside of the first. Thu


Spinal disease and spinal curvature : their treatment by suspension and the use of the plaster of Paris bandage . the entii^e length of thespinal column, and be bent into all the sinuosities, so that a per-fect outline of the deformity may be taken. This strip shouldthen be laid upon papei, and its outline marked with ink, sothat an accurate contoirr is presented of all the irregularitiesalong the spinal column. After the patient has been suspended,the same strip of lead should again be closely applied along thespinous processes, and another tracing made upon paper by theside of the first. Thus we have a means by which comparisoncan be made, and are enabled to determine exactly what changeshave taken place in the ciuve. As it is difficult for an assistant to hold the patient sus- 16 POTTS DISEASE. pended during the application of the dressing, I make use of avery convenient apparatus, contrived by Mr. Reynders ofNew York,^ which consists of a curved iron crossbeam, towhich is attached an adjustable head and chin collar withstraps fitted to axillary bands. To a hook in the centre is fixed Fig. a compound pulley, the other end of which is secured either toa hook in the ceiling or to the top of an iron tripod about tenfeet in height. The Dinner Pad.—The head and chin collar and the axil-lary supports having been carefully adjusted, the patient is ^ This apparatus (fig. 1) can now be obtained from any of the Lon-don instrument makers THE DINNER PAD. 17 gradually drawn up until the feet swing just clear of the applying the plaster bandage I place over the abdomen,between the shirt and the skin, a pad composed of cotton foldedup in a handkerchief so as to form a wedge-shaped mass, thethin edge being dii-ected downwards. This is intended to leaveroom when removed for the expansion of the abdomen aftermeals, and so I call it the dinner pad. It is important tomake it thin where it comes under the lower edge of the jacket,or else the jacket would fit too lo


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