. Annals of surgery . post,nerveroot pulpmcjedema. , i \ Fig. 20.—Case 10. Photomicrograph showing pulping and oedema above the crush. 282 FRACTURE DISLOCATION OF THE Case XII.—B. M. Sealy Hospital. History Xo. 956. Surg. Path. Xo. patient was admitted to the Sealy Hospital on March 4, lOJO, totally paralyzedand anxsthetic in his lower extremities the result of a fall from a height of jofeet. The nth and 12th thoracic spinous processes were verj prominent. X-rayexamination showed a fracture of the body of the 12th thoracic vertebra. Bothlegs were comp
. Annals of surgery . post,nerveroot pulpmcjedema. , i \ Fig. 20.—Case 10. Photomicrograph showing pulping and oedema above the crush. 282 FRACTURE DISLOCATION OF THE Case XII.—B. M. Sealy Hospital. History Xo. 956. Surg. Path. Xo. patient was admitted to the Sealy Hospital on March 4, lOJO, totally paralyzedand anxsthetic in his lower extremities the result of a fall from a height of jofeet. The nth and 12th thoracic spinous processes were verj prominent. X-rayexamination showed a fracture of the body of the 12th thoracic vertebra. Bothlegs were completely paralyzed and flaccid with complete absence of all Fig. 21.—Case 10. Photomicrograph showing pulping and ccdcma below the crush. Anaesthesia was complete to all forms of sensation up to a point on the front ofthe abdomen about 3 inches above pubic symphysis and laterally to the levelof the iliac crests. There was no control of the bladder and rectum. In timebedsores developed on the buttocks, heels, toes and penis. There was no occurred 44 weeks after the injury, from cystitis and renal sepsis. Therewas never any sign of return of the reflexes in the paralyzed limbs. The autopsy showed forward displacement of the nth thoracic vertebraassociated with a fracture through the body of the 12th. The spinal canal wasconsiderably narrowed. The spinal cord (Fig. 23) was completely crushed at thislevel, and the crushed cord is represented by a flat tape-like band of tissue lyingin a sleeve of pia mater. The pia mater was not torn. The dura mater was intactand was not adherent to the pia. Sections of the cord above
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
