Atlas and epitome of traumatic fractures and dislocations . wels requires supervision. Diarrhea isa most unfavorable symptom when incontinence of thealvine discharges exists. In a hospital, where patients ofthis class ought always to be treated, special apparatus isat hand, such as a surgical bed with a contrivance forraising and lowering, and provided with an opening forthe discharge of the stools; permanent water-bath, nearer the lesion to the upper extremity of the verte-bral column, the more unfavorable is the prognosis, becausethe injury at this level threatens interference with v
Atlas and epitome of traumatic fractures and dislocations . wels requires supervision. Diarrhea isa most unfavorable symptom when incontinence of thealvine discharges exists. In a hospital, where patients ofthis class ought always to be treated, special apparatus isat hand, such as a surgical bed with a contrivance forraising and lowering, and provided with an opening forthe discharge of the stools; permanent water-bath, nearer the lesion to the upper extremity of the verte-bral column, the more unfavorable is the prognosis, becausethe injury at this level threatens interference with vitalorgans. Hence fractures in the cervical portion are ingeneral much more dangerous than those in the lower thor-acic and lumbar regions. Treatment.—Intelligent treatment should be institutedfrom the moment of the patients admission. He mustnot be allowed to sit or stand on account of the danger ofsecondary displacement of the fragments and injury of theas yet uninjured cord, especially if the fracture is oblique FRACTURES OF THE VERTEBRAL COLUMN. 117. Fig. 30.—Angular kyphosis inthe region of the eighth and ninththoracic vertebrae after a fall onthe back (on May 24, 1894) froma height of 5 meters. The manlanded on a pile of bricks. Afterthe primary loss of consciousnesscleared up, the patient was able,with the assistance of his com-panions, to walk to his home,which was in the May 30th the man, who wasthirty-eight years of age, was ad-mitted to the clinic. There waspain at the seat of fracture ; nonervous symptoms.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
