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Article
November 12, 1892

SOME OBSERVATIONS UPON THE MECHANICAL TREATMENT OF POTT'S DISEASE.

Author Affiliations

PROFESSOR OK ORTHOPEDIC SURGERY AND SURGICAL DISEASES OF JOINTS, CHICAGO POLICLINIC; AND PROFESSOR OF ORTHOPEDIC SURGERY AND SURGICAL DISEASES OF JOINTS AND CLINICAL SURGERY, COLLEGE OF PHYSICIANS AND SURGEONS, CHICAGO.

JAMA. 1892;XIX(20):573-577. doi:10.1001/jama.1892.02420200009001c

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Abstract

Since the introduction of the plaster jacket for the treatment of Pott's disease, it has been positively demonstrated that mechanical fixation inducing physiological rest, is competent and sufficient means in the majority of cases; and the jacket alone will fully meet these indications when judiciously applied, provided the disease exists below the middle of the upper half of the dorsal region. It is the mechanical treatment of this particular class of uncomplicated cases of which I wish to speak. I do not include those severe and rapidly developing cases that demand extension together with other means of fixation. The amount of deformity which occurs, where there has been destruction of the vertebral bodies, depends upon the number of bodies involved and the extent of destruction of each, and also upon the treatment which has been employed to restrain deformity. Upon the first condition depends all the deformity that must of

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