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The abstract of Steinmann's article on "Total Luxation of the Spine," in The Journal, June 16, 1906, prompts the following report:
Oct. 19, 1898, I was called to see a negro. October 17 he had attempted to rearrange some bales of cotton loaded on a wagon. In lifting them he placed his head under the bales and lifted with his head and hands. In some way a bale fell on him and crushed him to the earth, whence he was picked up and attended by an irregular practitioner. I found him suffering from a complete bilateral dislocation of the fifth cervical vertebra forward with complete paralysis of all of his limbs and bladder. He could move neither hands nor feet and could not control his urine. His bowels had not moved since the injury. I immediately attempted reduction, without anesthesia, which was accomplished very easily. All the symptoms gradually improved.
RAY TF. TOTAL LUXATION OF THE SPINE.. JAMA. 1906;XLVII(17):1377. doi:10.1001/jama.1906.25210170041003b