A treatise on orthopedic surgery . LATEEAL CUBVATUBE OF THE SPINE. 219 cut out on the opposite side to permit expansion. In treatmentby fixed supports in which pressure is exerted on the deformityand space provided for correction, the respiratory movements ofthe chest are an aid in rectification. Greater corrective forcemay be applied by machines as illustrated in Fig. 160, thejacket being applied to include the pressure pads. When the deformity is dependent upon irremediable injuryor disease, such, for example, as anterior poliomyelitis or empy-ema, some form of brace must be employed constan


A treatise on orthopedic surgery . LATEEAL CUBVATUBE OF THE SPINE. 219 cut out on the opposite side to permit expansion. In treatmentby fixed supports in which pressure is exerted on the deformityand space provided for correction, the respiratory movements ofthe chest are an aid in rectification. Greater corrective forcemay be applied by machines as illustrated in Fig. 160, thejacket being applied to include the pressure pads. When the deformity is dependent upon irremediable injuryor disease, such, for example, as anterior poliomyelitis or empy-ema, some form of brace must be employed constantly to pre-vent excessive lateral deviation of the trunk; and in cases offixed deformity in older subjects, especially if the patients FiCx. The Knight spinal brace, as used in lateral curvature. A leather or canvasband, made adjustable by lacings, is stretched from the posterior upright to theside bar on the side of the dorsal convexity. occupation is fatiguing, a support may be indicated to relievesymptoms of discomfort or pain. SupjDort is employed primarily with the aim of preventingan increase of deformity and to relieve symptoms incidental tothe deformity. It may serve, also, in some degree as a correc-tive apiDliance. If it holds the spine in the extended position orinduces lordosis, it may, by relieving the anterior portion of thecolumn in part from the deforming influence of superincumbentweight, induce or permit a slight lessening of the rotation of thevertebral bodies. On this principle a light steel brace, after theTaylor model, may be as effective as any of the more compli- 220 OBTHOPEDIC SUBGEBY. cated apj)liances, as was suggested many years ago by of other material than plaster, for example,


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