Lectures on orthopedic surgery . Fig. 1?..—Cervical spondylitis; head thrown forward,with chin approachingchest. 31 will reveal nothing; it is very disgusting to the patient,and the normal prominence of the vertebral bodies maymislead the surgeon. Paraplegia is seldom met present it may affect both upper and lower ex-tremities, or the lower only. A more complete descrip-tion of the paraplegic symptoms will be given in connec-tion with dorsal spondylitis, of which paraplegia ismore often a complication. Symptoms of Dorsal Spondylitis.—Before the appear-ance of kyphosis the diagnosis m
Lectures on orthopedic surgery . Fig. 1?..—Cervical spondylitis; head thrown forward,with chin approachingchest. 31 will reveal nothing; it is very disgusting to the patient,and the normal prominence of the vertebral bodies maymislead the surgeon. Paraplegia is seldom met present it may affect both upper and lower ex-tremities, or the lower only. A more complete descrip-tion of the paraplegic symptoms will be given in connec-tion with dorsal spondylitis, of which paraplegia ismore often a complication. Symptoms of Dorsal Spondylitis.—Before the appear-ance of kyphosis the diagnosis must depend upon per-. FiG. 14.—Cervical spondylitis;frotQ abscess. head thrown back ; sinus in side of neck sistent distant pain, often treated for many months asgastric pains; upon a disinclination to indulge in roughplay ; a growing tendency to stand with the elbowsresting on a chair or table; a grunting respiration, andupon an inability to rise from a stooping posture, or pickup an object from the floor without resting the handupon some piece of furniture or climbing hand overhand upon his own legs. Any distant pain which does not readily yield toproper medication should lead to a careful examination 32 of the spine. Often there is crying when the child islifted, and a cough accompanying a grunting the upper two or three dorsal vertebrae be the onesinvolved, the head may be thrown backward and theneck held rigid to forward or lateral bending, and para-plegia may even come on before any kyphosis can bemade out. When the disease arises in the lower dorsalregion, the patient may limp and c
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
