A treatise on orthopedic surgery . bout the neck and in front of theshoulders as in the Calot jacket or direct backward traction onthe shoulders may be made by means of the anterior shoulderbrace described in connection with the spinal brace (Fig. 41) ;this may be attached to buckles incorporated in the plaster orby tapes crossed behind the shoulders. Traction applied inthis manner is an additional fixation for the spine and assuresbetter expansion of the chest. In default of this appliance theshoulders may be included in the plaster support. In many instances a head support is required, and i
A treatise on orthopedic surgery . bout the neck and in front of theshoulders as in the Calot jacket or direct backward traction onthe shoulders may be made by means of the anterior shoulderbrace described in connection with the spinal brace (Fig. 41) ;this may be attached to buckles incorporated in the plaster orby tapes crossed behind the shoulders. Traction applied inthis manner is an additional fixation for the spine and assuresbetter expansion of the chest. In default of this appliance theshoulders may be included in the plaster support. In many instances a head support is required, and it is, of TUBEBCULOUS DISEASE OF THE SPINE. 11 course, always indicated in disease of the upper dorsal and cer-vical regions. For this purpose the head may be included inthe plaster support or a jury-mast or a posterior splint may beemployed. The jury-mast should be of tempered steel, strong enough tohold its shape under the tension of the halter (Fig. 42). Itsbase should be incorporated firmly in the jacket below the seat Fig. Illustrating fixation of the head in the overextended attitude. of the disease; it should be long enough to reach well above thehead, and the crossbar should be placed directly over the ears(Fig. 46). The halter should be applied with as much tension as can beborne comfortably by the patient, so that the weight of the headmay be at least partly supported. The straps should be adjustedto tilt the chin slightly upward, the aim being to draw the headbackward and thus to extend the spine. In disease of the cer-vical region the crossbar should be fixed to check lateral motion6 OBTEOPEDIC SUBGEBY. of the head, but this is unnecessaiy when it is at a lower more complete fixation of the head is desired, or if thejurj-mast is ineffective, an appliance similar to that shown inFig. 44 mav be used. This consists of two light steel bars, in-corporated like the jury-mast in the jacket, and adjusted to theneck and back of the head. Their upper extremities
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
