A treatise on orthopedic surgery . alysis, for abscess, for dangerous disease of the atlo-axoidregion, for progressive deformity, and for pain that cannot berelieved by the ordinary means. Special Indications for Treatment of Diseases of the Differ-ent Regions of the Spine.—In the selection of treatment, andin the general management of Potts disease, each region of thespine must be judged by itself, since in each there are specialdifficulties to be met, and complications to be feared that mayinfluence the prognosis and lead to modifications of the routineof treatment. 106 OBTHOPEDIC SUBGEBY. T
A treatise on orthopedic surgery . alysis, for abscess, for dangerous disease of the atlo-axoidregion, for progressive deformity, and for pain that cannot berelieved by the ordinary means. Special Indications for Treatment of Diseases of the Differ-ent Regions of the Spine.—In the selection of treatment, andin the general management of Potts disease, each region of thespine must be judged by itself, since in each there are specialdifficulties to be met, and complications to be feared that mayinfluence the prognosis and lead to modifications of the routineof treatment. 106 OBTHOPEDIC SUBGEBY. The Lower Region.—Tlie prognosis is good in disease of thelower region, and one may, as a rule, predict recovery withoutnoticeable deformity; at most, but a slight shortening andbroadening of the trunk and a peculiar erectness of attitude. The brace is the better support when the disease is near thesacrum, while the jacket is often more comfortable and moreeffective than the brace when the middle or upper lumbar region Fig. The final result of extreme psoas contraction. The direct bone deformity beingcomparatively slight. is diseased, particularly when lateral deviation of the spine ispresent. The most troublesome complications of this region are psoascontraction and the abscess with which it is often combined. As has been stated, psoas contraction changes the attitudeof overerectness, favorable to repair, to a forward stoop that TUBERCULOUS DISEASE OF THE SPINE. 107 increases the pressure and friction at the seat of disease. Ifthis attitude persists and if it becomes fixed bj permanentchanges, such as are likely to follow the burrowing of a pelvicabscess most disastrous deformity may result; the body and thethighs are approximated and the erect attitude is made im- FiG. 76.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
