A treatise on orthopedic surgery . Primary lumbar curvature to the left. A flat back marked rotation with butslight lateral curvature. and on the other side of the spine there is a corresponding flat-ness or depression. The projection of the ribs due to the dis-tortion of the thorax is far more noticeable Ihan is the simpletwisting of the free portions of the spine in the neck or loins;and in these regions the projecting transverse processes coveredby the thick layers of muscles, yet unaccompanied by markedlateral deviation, may cause mistakes in diagnosis. In the 154 OBTHOPEDIC SUEGEBY. cervi
A treatise on orthopedic surgery . Primary lumbar curvature to the left. A flat back marked rotation with butslight lateral curvature. and on the other side of the spine there is a corresponding flat-ness or depression. The projection of the ribs due to the dis-tortion of the thorax is far more noticeable Ihan is the simpletwisting of the free portions of the spine in the neck or loins;and in these regions the projecting transverse processes coveredby the thick layers of muscles, yet unaccompanied by markedlateral deviation, may cause mistakes in diagnosis. In the 154 OBTHOPEDIC SUEGEBY. cervical region, for example, as an accompaniment of acute tor-ticollis, the projection may be mistaken for abscess; and in thelumbar region it has been mistaken for a new-growth attachedto the spine. Although persistent lateral curvature of the spine is alwaysaccompanied by rotation, the degree of rotation does not alwayscorrespond to that of the more evident lateral deviation. In the Fig. Scoliosis with marked posterior deformity. instance cited, rotation in the lumbar region, so extreme as tosimulate an abnormal growth, maj be present with but slightlateral distortion; while in other instances the body appears tobe greatly displaced to one side, although there may be compara-tively little fixed rotation. Again, as has been stated, the lateraldeviation of the trunk is usually more noticeable than the rota-tion, which in the slighter grades of deformity is only madeapparent when the patient is bent forward so that the back may LATEBAL CUEVATUBE OF THE SPINE. 155 be inspected in the horizontal position. It may be noted, also,that the degree of habitual lateral distortion of the body doesnot correspond to the degree of fixed distortion. One individual,by voluntary effort, may practically conceal advanced deformity,while another who makes no effort to correct the improper pos-ture appears to be greatly distorted, although the fixed changesmay be very slight. The effects of
Size: 1242px × 2012px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
