A treatise on orthopedic surgery . bly higher plane than the dorsum, 1 The Phelps Plaster-of-Paris Bed, Trans. Amer. Ortho. Assoc, 1891,vol. iv., p. 83. - Kedard, La gouttiere de Bonnet, Chir. Orthopedique, p. 243.^Whitman, Trans. Amer. Ortho. Assoc, 1901. TUBERCULOUS DISEASE OF THE SPINE. 69 there is but bare contact when the cover is fairly rigid. Beforeapplying the cover one may with advantage wind bandagestightly about the frame at the point which is to support thetrunk in order to make the support as unyielding as possible(Fig. 30). The cover should be of strong canvas suitably pro- FiG.
A treatise on orthopedic surgery . bly higher plane than the dorsum, 1 The Phelps Plaster-of-Paris Bed, Trans. Amer. Ortho. Assoc, 1891,vol. iv., p. 83. - Kedard, La gouttiere de Bonnet, Chir. Orthopedique, p. 243.^Whitman, Trans. Amer. Ortho. Assoc, 1901. TUBERCULOUS DISEASE OF THE SPINE. 69 there is but bare contact when the cover is fairly rigid. Beforeapplying the cover one may with advantage wind bandagestightly about the frame at the point which is to support thetrunk in order to make the support as unyielding as possible(Fig. 30). The cover should be of strong canvas suitably pro- FiG. 30. ; iliiiilijJjij The modified frame with the bandage. tected in the center by rubber cloth. This is applied and isdrawn tight by means of corset lacings and straps. Upon thistwo thick pads of felt are sewed; these should be about seveninches in length and about an inch in thickness, placed on eitherside of the spinous processes at the seat of the disease, thus,protecting them from pressure, fixing the part more firmly. Fig. The stretcher frame, showing the canvas cover and apron. and increasing the leverage of the apparatus. The child,wearing only an undershirt, stockings, and diaper, is placedupon the frame and is fixed there usually by a front piece orapron similar to that used with the spinal brace. As soon asthe patient has become accustomed to the restraint one beginsto overextend the spine by bending the bars from time to timewith the aim, as has been stated, of actually separating thediseased vertebral bodies and obliterating all the physiologicalcurves of the spine, so that the body shall be finally bent back-ward to form the segment of a circle. The greatest convexityis at the seat of the disease, and as the head and lower extremi-ties are on a much lower level, an element of gravity traction 70 OBTHOPEDIC SURGE BY. is present in some instances, while the support of the spine, asa whole, is much more comprehensive than when the body liesupon a plane surface (Fi
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