. Lateral curvature of the spine and round shoulders . all space to obtaina hold which will exercise a sufficient side thrust on the thorax to becorrective. The current practice of the instrument-makers of fitting 164 TREATMENT. corsets and braces to such patients and allowing the parents to hopefor any considerable benefit is therefore to be condemned. The most easily made and available corset is to be manufacturedby removing from the patient the last corrective jacket, filling it withplaster-of-Paris and water, thus securing a torso of the patient. Thistorso is then further corrected by cutt
. Lateral curvature of the spine and round shoulders . all space to obtaina hold which will exercise a sufficient side thrust on the thorax to becorrective. The current practice of the instrument-makers of fitting 164 TREATMENT. corsets and braces to such patients and allowing the parents to hopefor any considerable benefit is therefore to be condemned. The most easily made and available corset is to be manufacturedby removing from the patient the last corrective jacket, filling it withplaster-of-Paris and water, thus securing a torso of the patient. Thistorso is then further corrected by cutting away the plaster on the convexside and by building up on the concave side so as to secure a symmetricalor over corrected model on which a jacket may be applied, or the pa-tient may be suspended by a Sayre sling and a jacket applied and cutoff to serve as a model for a torso. The torso is then shellacked andcovered with a layer of stockinet or an undershirt, and a plaster jacket,having been applied on the torso, is cut off, furnished with Fig. 135.—On the Left is a Plaster Torso Made from a Corrective the Right is the Same Torso Made More Symmetrical for the Applica-tion OF A Removable Jacket. and suppHed to the patient. All plaster jackets applied for forciblecorrection and retention must embrace the shoulders, and even thehead should be included, but the disfigurement is so great that mostpatients are unwilling to submit to it in America. On the torso obtainedas described may be constructed jackets of celluloid, leather, or othermaterial, or corsets made of cloth and reinforced by steel. The writer has found a segmented jacket of more general use thanthe ordinary one. A jacket is applied on a plaster torso in the usualway, and then the upper section, corresponding to the thorax, is sepa-rated from the rest of the jacket by a transverse cut. The lower sec-tion, corresponding to the pelvis, is separated in a similar way, and thetwo sections are then set
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