. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. is by the fact thatall motions are restricted and not simply those controlled bythe sterno-cleido-mastoid and trapezius. The treatment should consist of the local treatment ofthe causative disease in the fauces and pharynx and a fixa-tive support in recumbency by means of sandbags. Thisshould be followed later by massage and manipulations toovercome the subsequent stiffness. 6. Spondylitis Deformans. Synonyms. Osteo-arthritis of the spine; ankylosis
. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. is by the fact thatall motions are restricted and not simply those controlled bythe sterno-cleido-mastoid and trapezius. The treatment should consist of the local treatment ofthe causative disease in the fauces and pharynx and a fixa-tive support in recumbency by means of sandbags. Thisshould be followed later by massage and manipulations toovercome the subsequent stiffness. 6. Spondylitis Deformans. Synonyms. Osteo-arthritis of the spine; ankylosis of thespine; rheumatism of the spine; and rheumatoid arthritis of 32d ed., p. NON-TUBERCULOUS DISEASES OF THE SPINE. 155 the spine; spondylose rhizomelique of Marie. (When alljoints are involved this constitutes the ossified man of themuseums.) Pathology. There is a chronic ankylosing inflammationaffecting primarily the ossification of ligaments and pre-vertebral coverings of the spine, a form of ossifying periosti-tis, which binds the vertebrae firmly together. It may belimited to a few vertebrae, to one region or include the whole. Fig. 70. Spondylitis Deformans, Showing Osteophytes on Either Side andScoliotic Vertebra in Center. spine and the articulations with the ribs. It may be a partof a general rheumatoid arthritis involving other joints,but under the name spondylitis deformans the spine aloneis understood to be involved and there is a proliferation ofbone in this region as exostoses. It may be a sequela ofacute inflammatory rheumatism, traumatism, gonorrhoeain young male adults or other infections but is more commonin women past middle life. According to Nichols of Har-vard the causes are various and the different types are sim-ply different stages of the same process. (Fig. 70.) 156 ORTHOPEDIC SURGERY. Symptoms. Stiffness of the spine follows an acute onsetand gradually increases. Muscular spasm, headache as ofa steel band around the brow/ weakness in the extre
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