A manual of operative surgery . from exhaustion at the end of six weeks (Brit. , December 5, 1890). A large number of cases of paraplegia following caries of the spinehave been operated on by laminectomy, with the view of relievingpressure upon the spinal cord. The literature of the subject is veryconsiderable. Out of twenty-three cases collected by Mr. HerbertPage (loc. cit.), an improvement more or less considerable followedin about half. M. Chipault (Arch. Gen. de Med., December, 1890)has brought together thirty-five cases of operation in Potts disease,the examples of improvement
A manual of operative surgery . from exhaustion at the end of six weeks (Brit. , December 5, 1890). A large number of cases of paraplegia following caries of the spinehave been operated on by laminectomy, with the view of relievingpressure upon the spinal cord. The literature of the subject is veryconsiderable. Out of twenty-three cases collected by Mr. HerbertPage (loc. cit.), an improvement more or less considerable followedin about half. M. Chipault (Arch. Gen. de Med., December, 1890)has brought together thirty-five cases of operation in Potts disease,the examples of improvement showing a somewhat higher percentage. Laminectomy for paraplegia due to the above cause has, however, 196 CHAP. XVI] LAMINECTOMY 297 been largely abandoned in favour of conservative treatment byprolonged rest, etc. The examples of operation for tumour have, up to the presenttime, been very few. The writings of Sir Victor Horsley are especially valuable on thissubject, and the same author records (Brit. Med. Journ., February 27,. PS. FIG. 303.—TRANSVERSE SECTION THROUGH THE CARTILAGE (C. Ill) BETWEEN THETHIRD AND FOURTH LUMBAR VERTEBRA. C. Eq., Cauda equina; f., Fat behind the Cauda equina; , Lumbosacral cord;PS., Psoas muscle ; s. iv., Spine of fourth lumbar vertebra. 1909) a series of cases of successful laminectomy for chronic spinalmeningitis, in most of which the presence of a tumour had beendiagnosed but was not found. On this subject see also an im-portant paper by Prof. Krause (Verhandl. der dents. Gesell. f. , p. 598). 2 98 OPERATIONS ON THE SPINE rPARTlII The surgeon interested in this branch of operative surgery shouldconsult Thorburns valuable work on The Surgery of the SpinalCord. Mr. Thorburn deals especially with the operative treatmentof traumatic paraplegia, and he points out in how very few cases V. A. R B.
Size: 1340px × 1865px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, booksub, booksubjectsurgicalproceduresoperative
