A treatise on orthopedic surgery . Disease of the upper lumbar regionbefore the stage of deformity, show-ing abnormal lordosis. The same patient (Fig. 10) five yearslater, showing deformity. thus the prominent abdomen may first attract attention. Thewalh is careful, and a peculiar tip-toeing step, the feet beingslightly inverted to avoid the jar of striking the heels, is oftenobserved; this is, hov^ever, not a peculiarity of disease of thisregion alone, but is rather an evidence that the spine is sensitiveto slight jars. More characteristic of lumbar disease is a pecu-liar swagger explained in
A treatise on orthopedic surgery . Disease of the upper lumbar regionbefore the stage of deformity, show-ing abnormal lordosis. The same patient (Fig. 10) five yearslater, showing deformity. thus the prominent abdomen may first attract attention. Thewalh is careful, and a peculiar tip-toeing step, the feet beingslightly inverted to avoid the jar of striking the heels, is oftenobserved; this is, hov^ever, not a peculiarity of disease of thisregion alone, but is rather an evidence that the spine is sensitiveto slight jars. More characteristic of lumbar disease is a pecu-liar swagger explained in part by the exaggerated lordosis, and 40 ORTHOPEDIC SVBGEBY. in part by the loss of the accommodative, balancing motion ofthe lumbar spine, as the weight falls alternately on each limbin walking. The increased lumbar lordosis, so characteristic of the earlystage of the disease, is capable of several explanations. It ispartly voluntary, as bending the trunk forward brings pressureupon the diseased vertebral bodies, so bending it b
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
