Treatise on orthopedic surgery / by Edward H. Bradford and Robert W. Lovett.

  • Bradford, Edward G. (Edward Green), 1848-1928.
Date:
1905
Catalogue details

Licence: In copyright

Credit: Treatise on orthopedic surgery / by Edward H. Bradford and Robert W. Lovett. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    fore a projection has been noticed. The importance of recognizing these early symptoms can hardly be overstated, as it is on an early recoi;nition of the affection that the hope of a ready cure is to be based. Attitude.—The peculiarity in attitude noticed early in the disease is due either to reflex muscular spasm—similar to that seen in joint dis- ease—or to an unconscious effort on the part of the patient to prevent jar or any increased pressure upon the affected vertebral bodies. These attitudes necessarily vary according to the point of the spine at- FiG. 25.—Lordosis in Lumbar Pott's Fig. 24.—Deformity in Dorsal Pott's Disease Show- Disease, ins? Spasm of Muscles. tacked. In disease of the upper cervical region, the most common atti- tude is that of wry-neck. When the disease is in the lower cervical or upper dorsal region, tlie chin is held somewhat raised, to balance the weight of the head on the articular facets, siiggesting the position of a seal's head when out of water. The sjiinal column below the point of disease is abnormal!}' straight, and in some instances curved slightly forward, while in the lower dorsal region an e.xaggerated backward projection of the spinous' processes may be seen; this ]-)rojection, due to a compensating curve.