A treatise on orthopedic surgery . ivity must be carefully regulated, and mustbe discontinued when there is evidence of discomfort or weak-ness or pain. If the period of activity must be short, it shouldbe passed in the open air. The passive attitude of sitting,although less strain is thrown upon the spine than duringactivity, may be even worse for the patient; thus, the recliningor semi-reclining posture should be assumed as a rule, when thechild is in the house, at least during the active stage of thedisease. Even if the spine apj^ears to be perfectly supported,the time spent in bed should b
A treatise on orthopedic surgery . ivity must be carefully regulated, and mustbe discontinued when there is evidence of discomfort or weak-ness or pain. If the period of activity must be short, it shouldbe passed in the open air. The passive attitude of sitting,although less strain is thrown upon the spine than duringactivity, may be even worse for the patient; thus, the recliningor semi-reclining posture should be assumed as a rule, when thechild is in the house, at least during the active stage of thedisease. Even if the spine apj^ears to be perfectly supported,the time spent in bed should be long, and a period of rest in themiddle of the dav should be enforced. TUBEBCULOUS DISEASE OF THE SPINE. 105 The arguments in favor of horizontal fixation in early child-hood do not apply to disease in the adult. At this age thestructure of the spine is resistant, and deformity is little to befeared, while such confinement would be irksome and impracti-cable ; thus, local support, supervision, and, if possible, a change Fig. The Knight brace with the back bars prolonged to support the head. of climate must be the treatment of selection for the adolescentor adult. In the middle period of childhood, from the fifth to the tenthyear, horizontal fixation is the treatment for emergencies; forparalysis, for abscess, for dangerous disease of the atlo-axoidregion, for progressive deformity, and for pain that cannot berelieved by the ordinary means. Special Indications for Treatment of Diseases of the Differ-ent Regions of the Spine.—In the selection of treatment, andin the general management of Potts disease, each region of thespine must be judged by itself, since in each there are specialdifficulties to be met, and complications to be feared that mayinfluence the prognosis and lead to modifications of the routineof treatment. 106 OBTHOPEDIC SUBGEBY. The Lower Region.—Tlie prognosis is good in disease of thelower region, and one may, as a rule, predict recovery withoutnoticea
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
