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March 23, 1907


Author Affiliations


JAMA. 1907;XLVIII(12):1029. doi:10.1001/jama.1907.25220380045002c

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Four cases of severe spinal injury have come under my observation in recent years, with about the usual result. Of this number two patients sustained a fracture in the middorsal region causing a complete crushing of the cord and as a consequence proved rapidly fatal in twenty-four and thirty-six hours, respectively. The third case (Case 1) presents some points of interest.

Case 1.  —A miner, aged 45, was working on a platform which gave way, precipitating him some distance. His spinal column was forced into a position of extreme flexion, being wedged in a narrow space during the 20 minutes required to free him from the débris.

Symptoms.  —There was considerable shock and also pain on pressure at the dorso-lumbar junction, though no evidence of displacement or of fracture of the vertebræ was found. Both sensory and motor tracts of the cord were implicated, there being complete paralysis below the

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