The treatment of fractures . ures are used, the likelihood of such a catastrophewill be modified. An anesthetic given to primary anesthesia isoften of service. A sufficient number of assistants should be athand—there should be at least four. It is, of course, impossible to say what cases will be saved by this means, but it has been proved to be a life-saving measure in a few . The patient will be more comfortable and more easily man- TREATMENT 89 aged after such a procedure. The hopelessness of the results offractured spine justifies the surgeon in undertaking almost any —Life ma
The treatment of fractures . ures are used, the likelihood of such a catastrophewill be modified. An anesthetic given to primary anesthesia isoften of service. A sufficient number of assistants should be athand—there should be at least four. It is, of course, impossible to say what cases will be saved by this means, but it has been proved to be a life-saving measure in a few . The patient will be more comfortable and more easily man- TREATMENT 89 aged after such a procedure. The hopelessness of the results offractured spine justifies the surgeon in undertaking almost any —Life may be prolonged, if not saved, by the propertreatment of this distressing affection, which is always associatedwith fracture of the spine. In a number of these cases death isdue to a pyelitis and nephritis following a cystitis. These com-plications may be avoided for a definite time if the bladder isthoroughly drained by urethral catheter or by perineal bladder may be kept aseptic by douching regularly with a. Fij;. 97—Fracture and subluxation ; cervical vertebra: united ( Warren collec-tion, Warren Museum) (Walton). solution of boric acid or permanganate of potash and by theinternal use of urotropin. Great care should be exercised in theavoidance of bed-sores ; it is easier to prevent than to cure of Treatment.—Fracture of the arches of thevertebras, whether open or closed, should be subjected tooperation. Fracture and compression of the cauda equinaafter six weeks of waiting for spontaneous recovery shouldbe treated by operation. In all partial lesions of the cord 90 FRACTURES OF THE VERTEBRAE operation is demanded. All other fractures showing a completetransverse lesion of the cord should be treated expectantly. GUNSHOT FRACTURES OF THE VERTEBRAE These open fractures arrange themselves into three groups forpractical purposes. First group. Those cases in which the viscera of the thoraxor abdomen are simultaneously injured. Second group.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
