Lectures on orthopedic surgery . Fig. 26.—Upper lumbar spondylitis with abscess pointing in the groinabove Pouparts ligament. A rachitic spine closely resembles the rounded cur-vature of spondylitis. The deformity is not infre-quently a rigid one, but the rigidity has a more elasticfeel than that of a tubercular spine; bilateral psoas- 44 contraction is occasionally present. The condition isfound only in young children, and is usually associatedwith other manifestations of rickets. There is no dis-tinct pain, no abscess, and no spastic motor mistaking of a rachitic spine for spon
Lectures on orthopedic surgery . Fig. 26.—Upper lumbar spondylitis with abscess pointing in the groinabove Pouparts ligament. A rachitic spine closely resembles the rounded cur-vature of spondylitis. The deformity is not infre-quently a rigid one, but the rigidity has a more elasticfeel than that of a tubercular spine; bilateral psoas- 44 contraction is occasionally present. The condition isfound only in young children, and is usually associatedwith other manifestations of rickets. There is no dis-tinct pain, no abscess, and no spastic motor mistaking of a rachitic spine for spondylitis will,however, be of little harm to the patient, since therachitic spine demands a rigid Fig. 27.—Dorso-lumbar spondylitis, infected lumbar abscess with sloughingsinus, enlarged liver and kidneys, and great emaciation. Scoliosis—rotary lateral curvature—will not be mis-taken for spondylitis, as the curvature is not usuallyrigid until some time has elapsed and the deformity hasbecome considerable. On the other hand, spondylitismay be mistaken for lateral curvature, and the neces-sary immobilization withheld and possibly exercise ad-vised. A slight lateral curve, with or without rotation, 45 if it be rigid, is probably a commencing spondylitis;exercises should be withheld and a support applied ; afew months observation will clear up the pain is rarely associated with scoliosis, it is therule in spondylitis, though it should not be forgottenthat it may be absent in both. The hyperesthetic spine, also called the irritablespine and the hj^sterical spine, if patiently and,^ care-
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
