. Diseases of bones and joints . he Spine The spine. The problem here presented has un-til recently been too difficult for solution. The tu-berculous disease, located anteriorly, in the bodiesof the vertebrae, destroyed these in whole or inpart, together with the intervertebral discs. Toeradicate the diseased tissue is impossible, and ope-rative attempts to do so simply made matters worseby carrying in a secondary infection. The opera-tion of Albee2 and that of Hibbs3 promise good re- 1 Albee, Surgery, Gynecology & Obstetrics, March, 1910. 2 Albee, Journal of the A. M. A., 1911, LVII, 885, N.
. Diseases of bones and joints . he Spine The spine. The problem here presented has un-til recently been too difficult for solution. The tu-berculous disease, located anteriorly, in the bodiesof the vertebrae, destroyed these in whole or inpart, together with the intervertebral discs. Toeradicate the diseased tissue is impossible, and ope-rative attempts to do so simply made matters worseby carrying in a secondary infection. The opera-tion of Albee2 and that of Hibbs3 promise good re- 1 Albee, Surgery, Gynecology & Obstetrics, March, 1910. 2 Albee, Journal of the A. M. A., 1911, LVII, 885, N. Y. MedicalJournal, 1912, XCV, 469. 3 Hibbs, Journal of the A. M. A., 1912, LIX, 433. DISEASES OF BONES AND JOINTS 87 suits, however, for they are founded on soundpathological principles. Both authors ignore thetuberculous disease in the bodies of the vertebrae,and direct their attention to securing a bony splint,by operations upon the spinous processes. Albeesplits the spinous processes of the diseased verte- AlbeesOperation. Fig. 38. The ring of the Thomas brace (Ridlon). A—posterior portion,B—inner bar, C—outer bar. brae, and of one or two above and below, and in-serts in the interval a piece of the patients tibiacovered with its periosteum, sewing the wound upover the graft. The graft unites with the raw sur-face of the split spinous processes, and forms abony splint. HibbsOperation Treatment ofCold Abscess 88 DISEASES OF BONES AND JOINTS Hibbs fractures the spinous processes, turningeach one down on the fractured base of the onebelow. abscesses. Our great concern in the treatment of a cold ortuberculous abscess is to keep it from becoming
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