. Transactions of the sixth International congress on tuberculosis. Washington, September 28 to October 5, 1908. omy. The pressure pro-duced by the lower bar about the gluteal muscles (results in photos, cases1, 2, 3) produces atrophy of these muscles. Thus the restriction of theapron interferes with the development of the child and his ability to buildup a resistance, to throw off the tuberculous disease, and secondly, theadditional weight increases deformity. By this I mean that in cases seen by me, in which natures cure hasresulted without the aid of any surgical treatment, the bony promine
. Transactions of the sixth International congress on tuberculosis. Washington, September 28 to October 5, 1908. omy. The pressure pro-duced by the lower bar about the gluteal muscles (results in photos, cases1, 2, 3) produces atrophy of these muscles. Thus the restriction of theapron interferes with the development of the child and his ability to buildup a resistance, to throw off the tuberculous disease, and secondly, theadditional weight increases deformity. By this I mean that in cases seen by me, in which natures cure hasresulted without the aid of any surgical treatment, the bony prominence hasgiven less deformity than the hideous deformed backs that are shown inthese pictures (1, 2, 3), and many other photographs in my possession,where, by the lowering of the vitality, by the restriction of the apron, andthe added weight of the brace, these unsightly deformities have resulted. I wish now to draw your attention to a brace, carrying a collar over thecrest of the ilium (Fig. 5), giving a primary bony support, through thepelvis and leg, to the ground. This support does away with the necessity. RATIONAL SPINAL SUPPORT.—FRAUENTHAL. 313 of an apron, and permits us to throw the superimposed weight back on thetransverse processes. By dispensing with the apron, the lungs and heart canbe developed, and the digestive function is unrestricted, a high vitality iskept up and resistance furnished to incapsulate the tuberculous process. As one sees so frequently tuberculous disease of the spine above theseventh dorsal vertebra, it must rest with the surgeon whether rest on acuirass or ambulatory treatment, with a brace or jacket, be used, but in thelatter case it is imperative to attach a jury-mast, as the jacket alone inter-feres with the childs general health and accomplishes nothing toward a cure. The following case represents one of the type seen at the Hospital forDeformities and Joint Diseases so frequently as to call for some comment. A. Mc, referred by Dr. DeKraft,
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