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Article
April 24, 1926

MODIFICATION OF TURNBUCKLE JOINT FOR TREATMENT OF SCOLIOSIS: SUGGESTION AS TO MANAGEMENT

JAMA. 1926;86(17):1282. doi:10.1001/jama.1926.26720430002009a
Abstract

In 1924, Lovett and Brewster1 published a series of articles on the treatment of scoliosis with a turnbuckle jacket. Briefly, their principle is the application of pressure on the curved part of the spine and counterpressure on the spine above and below the apex, thus correcting lateralization and, at the same time, rotation of the spinal column. This is obtained by a jacket made from a corrected plaster torso of the patient. It is divided transversely at the level of the apex of the lateral curve, at which point a hinge is fastened. Opposite this is placed the turnbuckle and lock, which are used to separate the segments and to hold them in position, respectively.

The correction obtained with this type of jacket is exceptionally good. The question is whether or not the new position can be maintained after its removal. It cannot, unless the musculature of the trunk

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