Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . gs.(Sheffield.) Kyphosis. The kyphosis or backward curvature usually extends from themiddorsal to the sacral region. It differs from tuberculouskyphosis by being rounded, and in the early stages reducible whenthe child is placed upon the abdomen and the thighs are over-turn from extended (see Spondylitis, page 381). Rachitic lateral spondylitis. ! . curvature or scoliosis is produced by the relatively heavy weight of the head upon the yielding (muscular and ligamen
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . gs.(Sheffield.) Kyphosis. The kyphosis or backward curvature usually extends from themiddorsal to the sacral region. It differs from tuberculouskyphosis by being rounded, and in the early stages reducible whenthe child is placed upon the abdomen and the thighs are over-turn from extended (see Spondylitis, page 381). Rachitic lateral spondylitis. ! . curvature or scoliosis is produced by the relatively heavy weight of the head upon the yielding (muscular and ligamentous insuffi-ciency) vertebral column. The condition is further aggravated RACHITIS. 499 by allowing the patient to sit up or walk at too early an age andfor too long periods and by the habitual unequal distribution ofthe encumbrance. As regards the latter it will be noted thatright-handed persons usually carry their children on the left arm,so as to have the right hand free, and, in consequence, the rightpelvis of the child is lifted upward, the right shoulder tilteddownward and the middle spine shoved laterally—lateral. Fig. 158.—Rachitic Kyphosis in a Boy 20 Months Old. Notesuperabundance of fat. (Sheffield.) scoliosis with the spinal convexity to the left. While rachiticscoliosis is most frequently observed in early childhood, ricketsundoubtedly forms also the principal cause of the so-calledpostural scoliosis of school-children, the curvature being merelyan exaggeration of the former condition. Rachitic scoliosis is tobe differentiated from congenital scoliosis (very rare; as a ruleassociated with oilier congenital deformities) ; cicatricial scoliosis! following operation for purulent pleurisy) ; paralytic scoliosis -in association with poliomyelitis,etc. (see Fig. 114) ;spondyliticscoliosis—usually kyphoscoliosis (see Spondylitis, page381 I ; scoliosis. I .tics .if iosis. 500 DISTURBANCES OF METABOLISM. static scoliosis (in congenital or acquired short
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
