A treatise on orthopedic surgery . An x-my picture of the case (Fig. 34) before treatment. Tlie situation of thedisease at tlie junction of the first and second lumbar vertebra; is indicated bythe lateral deviation, and by the appi-oximation of the dotted lines 1 and 2 ascompared to the others. TUBERCULOUS DISEASE OF THE SPINE. 73 middle regions of the spine restraint of the legs is not necessary,but in Inmbar disease a broad swathe should be passed acrossthe thighs, and if psoas spasm is present traction may beemployed. If the disease is of the upper region and if the patientshead is of the l
A treatise on orthopedic surgery . An x-my picture of the case (Fig. 34) before treatment. Tlie situation of thedisease at tlie junction of the first and second lumbar vertebra; is indicated bythe lateral deviation, and by the appi-oximation of the dotted lines 1 and 2 ascompared to the others. TUBERCULOUS DISEASE OF THE SPINE. 73 middle regions of the spine restraint of the legs is not necessary,but in Inmbar disease a broad swathe should be passed acrossthe thighs, and if psoas spasm is present traction may beemployed. If the disease is of the upper region and if the patientshead is of the long type, it is advisable to make a right angulardownward bend of the side bars so that the occiput being on alower level the proper pressure on the spine may be assured. Fig. The baby carriage as used in hospital practice for patients on thestretcher frame. In disease of the upper region of the spine traction is desir-able to aid in the reduction of deformity and to prevent thepatient from raising the head. This traction is usually appliedby means of the halter as used with the jury-mast. The strapsare attached to a crossbar at the upper extremity of the frame,and traction may be made by simply tightening them; or if theupper part of the frame is somewhat elevated, the weight of thepatients body makes the proper countertraction. This positionhas the advantage, also, of allowing the patient a better oppor-tunity to see what is going on about him (Fig. 33). In disease of the cervical region traction is usually of serviceand fixation of the head is always indicated in addition whenthe occipitoaxoid region is involved, either by sand-bags oneither side, or, preferably, by some form of metal brace. 74 OBTHOPEDIC SUBGEBY. Greater fixation of the spine may be des
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
