A treatise on orthopedic surgery . ks for lacing. The patient is provided with an apparatus for self suspensionso that the corset may be removed and adjusted in the originalposition. The active treatment is conducted somewhat as follows: Thepatient is placed face downward on a narrow table, in theabsence of assistance clasping it with the arms to fix the then attempts to reduce and if possible to overcorrect thedeformity by hyperextension, and by lateral flexion of the , if the primary lumbar curvature is to the left, the opera-tor standing on this side of the table and wi
A treatise on orthopedic surgery . ks for lacing. The patient is provided with an apparatus for self suspensionso that the corset may be removed and adjusted in the originalposition. The active treatment is conducted somewhat as follows: Thepatient is placed face downward on a narrow table, in theabsence of assistance clasping it with the arms to fix the then attempts to reduce and if possible to overcorrect thedeformity by hyperextension, and by lateral flexion of the , if the primary lumbar curvature is to the left, the opera-tor standing on this side of the table and with the left hand 216 OBTHOPEDIC SUBGEBY. pressing downward on the convexity, with the other lifts theright thigh of the patient, hyperextends it and draws it upwardand toward the left, lifting and turning the pelvis in a mannerto untwist the spine (Fig. 157). This movement is carried out over and over again in the pump handle manner, the patient assisting and eventuallygaining the ability to throw the limb backward and to the side. Correction of a left lumbar rotation bv natural leverage. without assistance. The dorsal curvature is corrected in thesame manner by passing the arm beneath the thorax of thepatient, hyperextending the trunk and at the same time rotatingit in a manner to overcome the deformity. The manipulation,lasting about twenty minutes, should be repeated at least twicedaily; the corset is then applied and it may be worn with ad-vantage during the night (Fig. 159). As the spine becomes more flexible so that it may be stillfurther corrected, new corsets are applied. During the day selfsuspension at intervals is of service and the patient should time assume the key-note posture, endeavoring to correctthe deformity beyond the degree enforced by the of the muscles of the trunk and self correction exercisesare useful in supplemental treatment. LATEBAL CUBVATUBE OF THE SPINE. Fig. 158. 217
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
