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December 25, 1909


JAMA. 1909;LIII(26):2158-2159. doi:10.1001/jama.1909.92550260001001g

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The following method of applying the plaster jacket in cases of Pott's disease was developed in the emergencies of practice and proved so simple and satisfactory that I have since used it in preference to the older methods:

The plaster jacket must be so applied that it will prevent any movement of the bones in the diseased part of the spine and will also hold the spine in a hyperextended position. The hyperextension transfers the superimposed weight of the head and shoulders from the diseased bodies of the affected vertebræto the articular processes. In this way all possible movement and pressure are taken from the diseased parts of the vertebræ and resolution is promoted. It is a fallacy to suppose that the jacket can support the weight of that part of the body lying above the diseased area by being built high in the axilæ and holding up the

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