The practice of surgery . rigid and contracted state of thesterno-cleido-mastoid muscle of one side, producing the state calledTorticollis, is very apt to cause spinal curvature, as has already beennoticed. The remedy is simple; by division of the offending , again, shortening of a lower limb, by morbus coxarius, or by ill- 340 LATERAL CURVATURE OF THE SPINE. united fracture, unless atoned for by suitable mechanical contrivance,can scarcely fail to cause more or less distortion of the vertebral Rickets is certainly not the least common cause. And the curva-tures, so occasio
The practice of surgery . rigid and contracted state of thesterno-cleido-mastoid muscle of one side, producing the state calledTorticollis, is very apt to cause spinal curvature, as has already beennoticed. The remedy is simple; by division of the offending , again, shortening of a lower limb, by morbus coxarius, or by ill- 340 LATERAL CURVATURE OF THE SPINE. united fracture, unless atoned for by suitable mechanical contrivance,can scarcely fail to cause more or less distortion of the vertebral Rickets is certainly not the least common cause. And the curva-tures, so occasioned, are at once the most rapid and decided in theirprogress, and the least amenable to treatment. The peculiar character-istic is indication of the rickety state; strumous complexion and cha-racter, and distortion of other parts of the skeleton, as well as of thespinal column (Principles, 3d Am. Ed. p. 442). The results of extremespinal curvature, usually with rotation, are rapidly developed; and, at Fig. 162. Fig. Figs. 162 and 163. Permanent Curvature of the Spine, with rotation, produced by Backeta the same time, the pelvis and lower limbs, as well as the clavicles andthe superior extremities, are more or less distorted. Usually, the direc-tion of the spinal curvature is lateral; but it may be treatment—prophylactic and curative, is such as has been alreadyconsidered [Principles, 3d Am. Ed. p. 446, &c). It is here that theuse of mechanical aids, in the shape of stays and belts, is not onlyallowable but highly necessary, when the patient is in the erect or semi-erect posture, and especially when exercise is taken ; yet requiring muchprudence and skill both in their first adjustment and subsequent°use DISEASE OF THE BODIES OF THE VERTEBRAE, 341
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