A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . r laidhorizontally. This prevents bending of the spine at the seat of dis-ease. If the disease is high up in the dorsal region or in the cervicalregion, it is necessary to support the head by means of a jury-mast at-tached to the plaster of Paris jacket or splint. Instead of making thespinal jacket or support of plaster of Paris bandages, a mould of thechilds trunk may be made and from it a neater, though more expen-sive, spinal


A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . r laidhorizontally. This prevents bending of the spine at the seat of dis-ease. If the disease is high up in the dorsal region or in the cervicalregion, it is necessary to support the head by means of a jury-mast at-tached to the plaster of Paris jacket or splint. Instead of making thespinal jacket or support of plaster of Paris bandages, a mould of thechilds trunk may be made and from it a neater, though more expen-sive, spinal support may be constructed of leather or some similarplastic material. In applying the plaster of Paris jacket the patientis divested of clothing and covered with a closely fitting merino shirtextending below the trochanters. He is then suspended by the 502 DISEASES OF JOINTS, CARTILAGES AND LIGAMENTS. shoulders and head and successive layers of gypsum bandage areapplied over the undershirt. A folded towel is placed over thelower portion of the abdomen before the application of the bandagesand removed subsequently, to permit distention of the abdomen after Fig. Child in bed-frame, with head traction. (Park.) eating. The plaster jacket may be allowed to remain for a number ofweeks without being removed from the body, or it may be removedand reapplied after being split down the front and furnished with eye-lets for lacing. The protuberance due to the vertebral curvature mustbe protected by a ring of cotton, to prevent pressure upon it causing abedsore. The spinal support made of plaster of Paris bandages, if re-movable, need not be worn when the patient is lying in bed. Whenthe spinal disease has become quiescent and the ankylosis is completethe jacket is dispensed with. Freedom from pain when pressure ismade upon the shoulders or head is an indication that the tubercularprocess has subsided. The patients general condition will usuallyhave greatly improved by this time, for his


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