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Article
May 28, 1949

D-TUBOCURARINE IN OIL-WAX SUSPENSION IN RHEUMATOID SPONDYLITIS: Its Use as an Adjuvant

JAMA. 1949;140(4):397-400. doi:10.1001/jama.1949.02900390029005
Abstract

Rheumatoid spondylitis is a chronic progressive disease of unknown causation, involving the sacroiliac joints, the posterior intervertebral (apophyseal) joints, the costovertebral and costochondral junctions and the longitudinal spinal ligaments. This disease is characterized by pain and limited motion of the spine, spasm of the paravertebral muscles, frequent flexion deformity of the spine, limited chest expansion and systemic manifestations of fatigue, loss of weight and strength. Fortunately, proper treatment will relieve the majority of the patients. This treatment consists of roentgen therapy to the spine (which will benefit 90 per cent [plus or minus]), systemic therapy, physical therapy and measures to correct and maintain proper posture (such as spinal brace, postural exercises, bed rest and bed boards). This regimen will relieve pain and prevent deformity in most patients, so that if ankylosis occurs, the spine will be in a position of extension and the chest in full expansion.

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