A practical treatise on fractures and dislocations . t [Erichsen states that when the fracture occurs in the middle or lower dorsalregions, so that the lower portion only of the cord is injured, the patient maylive for many years, even though the cord is completely severed and the spinalcanal obliterated by the displacement and by the new bone formed in the processof repair. He reports the case of a man who fell fifty feet from a tree andsustained a fracture of the spine with displacement. He lived nine and a halfyears, and though completely paralyzed below the middle of his body, suff
A practical treatise on fractures and dislocations . t [Erichsen states that when the fracture occurs in the middle or lower dorsalregions, so that the lower portion only of the cord is injured, the patient maylive for many years, even though the cord is completely severed and the spinalcanal obliterated by the displacement and by the new bone formed in the processof repair. He reports the case of a man who fell fifty feet from a tree andsustained a fracture of the spine with displacement. He lived nine and a halfyears, and though completely paralyzed below the middle of his body, sufferedonly from cystitis, and finally pyelo-nephritis. The autopsy showed completeobliteration of the spinal canal.] 3. Fractures of the Bodies of the Five Lower Cervical Vertebras. We shall now have added to the symptoms already enumerated,paralysis of the upper extremities, greater embarrassment of the respira- 1 Parkman, New York Journ. Med., March, 1853, p. 286. 2 Dupuytren, op. cit., pp. 356-7. a Lente, Amer. Journ. Med. Sci., Oct. 1857, p. Fracture through, lower dorsal andfirst lumbar vertebrae. 152 FRACTURES OF THE VERTEBRA. tion with diminished action of the heart, and more complete loss of sen-sation and volition in the lower part of the body. In general, also, theeyes and face look congested, owing to the imperfect arterialization of theblood, and death is more speedy and inevitable than in examples of frac-ture occurring lower down. In ten recorded examples of fractures of the five lower cervical vertebrae, onedied within twenty-four hours, four in about forty-eight hours, one in elevendays, and one lived fifteen weeks and six days, one about four months, onefifteen months, and one, reported by Hilton, survived fourteen Themost common period of death seems, therefore, to be about forty-eight hoursafter the receipt of the injury. The following cases illustrate the accident: A woman, set. forty-seven, wasinjured by a blow on the back of her neck; was seen
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