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March 9, 1907


Author Affiliations


JAMA. 1907;XLVIII(10):843-845. doi:10.1001/jama.1907.25220360001001

From a fairly long training in the conservatism of orthopedic surgery, to which at one time I devoted practically all my efforts, I have developed a tendency to prefer, in general, those operative methods which conserve tissue, and especially if the tissue so saved can be expected to be of use to the patient. That the laminæ of the vertebræ were orginally of use, to protect the cord and to give points of attachment for spinal muscles was obvious; that they would still be of use if, after a laminectomy, they could be restored to position and function seemed good reasoning; that this could be done I believed had been demonstrated, and I was impressed somewhat with the description of the operation as given by Bickham.1 There was nothing new in this description, but it came at a time that was, or seemed, opportune, for Dr. Leo Newmark and

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