. Medical and surgical reports. the left thigh. Unable tomove toes of the right foot but can voluntarily contract the right thighmuscles. Moderate incontinence of urine. Left knee jerk moderate;impossible to test the right knee jerk on account of the spHnt. Plantarreflexes absent. Abdominal and cremasteric reflexes brisk and sensory disturbances are as before but less marked. July 17. The fracture is practically healed. All voluntary movementsof both legs are possible, excepting the persistence of a double spasticity. Reflexes unchanged. SPINAL CORD SURGERY. 241 One year


. Medical and surgical reports. the left thigh. Unable tomove toes of the right foot but can voluntarily contract the right thighmuscles. Moderate incontinence of urine. Left knee jerk moderate;impossible to test the right knee jerk on account of the spHnt. Plantarreflexes absent. Abdominal and cremasteric reflexes brisk and sensory disturbances are as before but less marked. July 17. The fracture is practically healed. All voluntary movementsof both legs are possible, excepting the persistence of a double spasticity. Reflexes unchanged. SPINAL CORD SURGERY. 241 One year after the injury, in response to an inquiry, the patient writesthat he is able to move both legs with considerable freedom — Ukewisethe toes — and can walk with help. No dribbling of urine and no cystitis or bed sores. Tenotomy of bothtendines Achillis was done to overcome the toe-drop. Case 3.— J. C, age 56, was first seen in consultation with Dr. J. on April 4, 1912. Twenty years ago a loaded wheelbarrow had.


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Keywords: ., bookcentury1800, bookdecade1860, bookpublisherbosto, bookyear1864