. The principles and practice of modern surgery . r againstthe pelvis. These measures may do good if not abused. 4. Division of spinal muscles. —This operation was practised a fewyears ago, but the author believes it is now almost, if not quite, dis-continued. II. Angular Curvature (Pottos curvature) is produced, as fig. 94shows, by caries of the bodies of the vertebrse, or ulceration of the inter-vertebral substance—a disease which generally affects scrofulous childrenor adults. It begins with symptoms that indicate irritation of the spinalcord ; the patient complains of weakness, coldness, a


. The principles and practice of modern surgery . r againstthe pelvis. These measures may do good if not abused. 4. Division of spinal muscles. —This operation was practised a fewyears ago, but the author believes it is now almost, if not quite, dis-continued. II. Angular Curvature (Pottos curvature) is produced, as fig. 94shows, by caries of the bodies of the vertebrse, or ulceration of the inter-vertebral substance—a disease which generally affects scrofulous childrenor adults. It begins with symptoms that indicate irritation of the spinalcord ; the patient complains of weakness, coldness, and numbness of thelegs, and incapability of taking exertion ; and these symptoms are followedby twitchings and spasms of the legs, and afterwards by palsy. Thebowels are costive ; and there is difficulty sometimes of passing, some-times of retaining the urine, which is generally pale and rarely complain of much pain in the back; but if the patient isan adult, there is generally a heavy dull aching pain, aggravated by mo-. 328 DISEASES OF THE SPINE. tion, together with great tenderness on pressure ; and a peculiar deadsickening sensation like that of a carious tooth, if a smart blow be struck on the diseased part with the the disease is situated in the dorsal ver-tebrae, it will moreover be accompaniedwith tightness of the chest, and dilficultyof breathing; and if in the cervical, oneor both arms may be palsied, and therewill be a difficulty of supporting the the disease advances, the back becomescurved forwards, and the spinous pro-cesses of the diseased vertebra3 projectbackwards, so as to cause great de-formity; abscesses form, and the patientexhibits great constitutional derangementand hectic. Consequences. — 1. In favourable cases,abscesses, if they form, are healed, or their matter is absorbed ; the diseasedbones collapse, and are anchylosed, as after ulceration of the cartilages ofjoints; and the patient recovers with more or


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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery