A treatise on orthopedic surgery . he lumbar region. From the functional standpoint it maybe divided into two parts. Of these, the superior or occipito-axoid section is peculiar, in that it contains no vertebral bodyor intervertebral cartilage, and in that the movements of thehead are carried out in special joints and are controlled byspecial muscles. Occipitoaxoid disease is relatively more fre-quent in adult life than in childhood and it is as compared todisease of other regions of the spine more dangerous because of 58 OBTEOPEDIC SURGERY. the proximity of the vital centers which may be inju
A treatise on orthopedic surgery . he lumbar region. From the functional standpoint it maybe divided into two parts. Of these, the superior or occipito-axoid section is peculiar, in that it contains no vertebral bodyor intervertebral cartilage, and in that the movements of thehead are carried out in special joints and are controlled byspecial muscles. Occipitoaxoid disease is relatively more fre-quent in adult life than in childhood and it is as compared todisease of other regions of the spine more dangerous because of 58 OBTEOPEDIC SURGERY. the proximity of the vital centers which may be injured bypressure or by sudden displacement of the weakened —In a typical case the symptoms are neuralgicpain radiating over the back and sides of the head, followingthe distribution of the auricular and occipital nerves. Theneck is stiff and the head may be fixed in the median line, thechin being somewhat depressed; or more often it is tilted toone side, simulating the attitude of torticollis (Fig. 24). Fig. Cervical disease. A characteristic attitude. The attitude and appearance of the patient, when normalmovement of the neck is restrained by a painful disease, ischaracteristic; the eyes follow one, or the body is turned, whenthe attention of the patient is attracted. The patient movescarefully, in order to avoid jar; often the chin is instinctivelysupported by the hand, and a favorite attitude isone in whichthe patient sits with elbows on the table, the hands supportingthe head (Fig. 25). If the attempt is made to raise the chin, TUBEPiCULOUS DISEASE OF THE SPINE. 59 or to rotate the head, the patient seizes the hands of the ex-aminer, and, it may be, screams in apprehension. There maybe slight bulging and thickening of the tissues at the seat ofdisease. The affected vertebrae are usually sensitive to directpressure, and not infrequently deep fluctuation in the suboc-cipital triangle can be made out. The atloaxoid junction lies just behind the posterio
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
