On a new operation for the cure of lateral curvature of the spine

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Page 5 - too positive, to give the head its natural and indispensable attitude of perpendicularity. Nature has given to the region of the loins the greater freedom of motion, because that portion of the body is
Page 12 - a tendency to draw the spine back, not however to its former line, but to such an extent beyond it, as may be required to compensate for the primary curve, and by which the equipoise of the body may be restored, without the necessity of continued muscular effort. Thus the whole distortion becomes double or
Page 33 - vertebrae is not considerable, when the body is raised in any, even the greatest degree. This is probably- due to the greater shortening of the quadratus than of the posterior lumbar muscles as the preventive obstacle to extension. By inquiring into a large number of cases, we might ascertain that this peculiarity was
Page 40 - at the same time keeps asunder the surface of the inner wound. The patient may be placed on the back, with the shoulders a good deal raised, and be left undisturbed during four or five days, or even a week, when the local symptoms will have subsided. Passive pressure should then be resorted
Page 50 - We must always recollect that each rib has the form, attachment, and action of the handle of a bucket; that the chest, through the agency of the intercostal muscles, dilates in its transverse diameter, as well as in the vertical, by the diaphragm, and that lateral compression of the chest is quite
Page 49 - 4thly, We have the two axillae, in which we can reach without difficulty the second ribs, which are little less mobile than the first. We may avail ourselves of any, or of all these situations, without incurring the danger of restricting the actions of the intercostal muscles, the healthy regeneration of which
Page 25 - because, on the principle previously adverted to> the nearer the arm with its appended weight form a line parallel to the adjoining leg, the lighter the burden, or, in other words, the more closely does it hang to the centre of gravity. But we find one form of lateral curvature
Page 24 - of his trade, varying from ten to six pounds, on his left shoulder, possibly with a view to retain free action of the right arm. The immediate effect of such a weight has been already alluded to: the weighted shoulder was drawn towards the mesial line or centre of gravitation
Page 48 - only, and to leave untouched the entire remainder of the ribs, so that the intercostal agents of respiration may remain unmolested. For the purpose of applying this pressure we must examine the fixed points of the trunk, with a view to select such as will form a substantial and
Page 8 - V Lumbar. Of these natural arches of the spine, one only is essential, and two are consequent. The essential curve is the middle or dorsal—that portion which bounds posteriorly the cavity of the chest; and we have no difficulty in attributing this projection backwards of the dorsal

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