. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. Comparison is then made with the original measurementsof the patient and if found to correspond, a plaster jacket ismade on this corrected cast over an undershirt with feltpads over the anterior superior spines. When dry it is cutdown the front, removed and finished with an outside cover-ing of stockinet and lacing, after thoroughly baking to removeall moisture and render it as light as possible. (Fig. 107.) Such a jacket, when worn by the patient, a
. Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations. Comparison is then made with the original measurementsof the patient and if found to correspond, a plaster jacket ismade on this corrected cast over an undershirt with feltpads over the anterior superior spines. When dry it is cutdown the front, removed and finished with an outside cover-ing of stockinet and lacing, after thoroughly baking to removeall moisture and render it as light as possible. (Fig. 107.) Such a jacket, when worn by the patient, acts as a con-stantly correcting force to lessen lateral leaning and should be worn all the time except when going throughthe gymnastics. The authors experience with celluloid jackets made inthis manner is unsatisfactory in that they twist out of shape, NOX-TUBERCULOUS DISEASES OF THE SPINE. 227 are very tedious and expensive to make and are hot evenwhen well perforated with apertures. The enameled paper jackets as advocated by Weigel andmade over the corrected casts are too hot for the southerncUmate aside from their Fig. 107. A Plaster Jacket Made Over a Corrected Cast for a Case Of Scoliosis. The same may be said of leather jackets and Phelpsaluminium corsets. When a patient gets a very expensive jacket she is unwill-ing to discard it when further improvement prompts thesurgeon to further correct the cast and make a new and 228 ORTHOPEDIC SURGERY. more nearly normal jacket. So that in the long run a light,laced, cool and comparatively inexpensive plaster jacket isthe best, in the authors judgment. There are those who maintain that no brace, corset orsupport should be applied in scoliosis as weakening the mus-cles and others hold and can show the advantages chnically,that it is essential and mechanically sensible to hold adeviated spine as erect as possible by day and night for themore it leans to one side, the greater to a certain extent willbe the tende
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