The operating room and the patient; a manual of pre- and post-operative treatment . the most nourishing food should be given. Much willdepend on the healthful character of the patients surroundings. The Treatment of Scoliosis.—Prophylactic treatment is embracedin the care of the general health, the correction of anemic con-ditions, the selection of proper chairs and writing-desks, and thefurnishing of sufficient and properly directed light while at workin school. Finally, a watchful care must be exercised to preventparents from sacrificing the health of the child to excessive men-tal culture.


The operating room and the patient; a manual of pre- and post-operative treatment . the most nourishing food should be given. Much willdepend on the healthful character of the patients surroundings. The Treatment of Scoliosis.—Prophylactic treatment is embracedin the care of the general health, the correction of anemic con-ditions, the selection of proper chairs and writing-desks, and thefurnishing of sufficient and properly directed light while at workin school. Finally, a watchful care must be exercised to preventparents from sacrificing the health of the child to excessive men-tal culture. General Measures of Treatment.—The cause should be removed OPERATIONS ON THE VERTEBRAL COLUMN 551 where it can be ascertained. The extremities should be equalizedby wearing a high shoe; change of occupation and methods ofrecreation are to be insisted on and a proper sitting position, orattitude, while standing or walking is to be advised. The generalhealth should be carefully inquired into, and remedies adminis-tered that are calculated to correct any existing constitutional. Fig. 211.—Shaffers brace applied. (Fowlers Surgery.) vice and restore the health and strength, such as cod-liver oil,preparations of iron, iodin, and the phosphates. Correction of the Deformity.—The most important means^at ourcommand for this purpose are embraced in properly directedgymnastic exercises. The results of treatment will dependlargely on how thoroughly the patient appreciates the importanceof this part of the treatment and how persistently he devotes 552 OPERATING ROOM AND THE PATIENT himself to the task of carrying it out. The system known as theSwedish, when the exercises are administered by a personthoroughly familiar with the method as taught in Sweden, is byfar the best. In addition to these dumb-bell exercises or self-suspension by Sayres apparatus, should be practised, or thehorizontal bar should be used several times a day; the patient should lie down for a shorttime after each


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