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January 1942


Arch Surg. 1942;44(1):119-128. doi:10.1001/archsurg.1942.01210190122014

Although there have been some satisfactory results obtained by the use of the more recently developed method of treatment for scoliosis (particularly by the turnbuckle jacket with eventual fusion of the primary curve), these procedures still leave much to be desired. Because of the small percentage of really good results, the prolonged period of hospitalization and the consequent high cost of the treatment, a more satisfactory method would indeed be welcome.

The treatment of scoliosis by rib resection was originally suggested to Hoffa1 by Volkmann2 in 1889. In this country in 1902, Hoke3 performed rib resection on a 16 year old girl with a high right dorsal curve (the apex was at the level of the eighth thoracic vertebra). He had tried postural treatment and braces unsuccessfully before operating. The prominence of the ribs extended from the fourth rib down on the right side. After trying rib

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