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Deformity, abscess, and paraplegia are the only complications of Pott's disease occurring with sufficient frequency to merit especial consideration. The management of these complications at the present time is much as follows:
Deformity may be more or less corrected in those cases where the reparative action has not yet reached the stage of appreciable consolidation; or it may be accepted. For correction of the deformity three methods are employed: 1. Immediate redressment by longitudinal and antero-posterior traction with weights and pulleys, the patient lying prone, followed by immobilization with the " shell-back" cuirass (Blanchard); 2. interrupted redressment by partial vertical suspension repeated at intervals of a few weeks or months, the spine being immobilized during the interval with the plaster jacket (Sayre); and 3, gradual redressment by continuous action of the anteroposterior leverage brace (Taylor). The circumstances surrounding the individual case should decide the choice of method.
It appears that reparative
THE MANAGEMENT OF THE COMPLICATIONS OF POTT'S DISEASE.. JAMA. 1892;XIX(7):202. doi:10.1001/jama.1892.02420070026003