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February 10, 1917


JAMA. 1917;LXVIII(6):452-455. doi:10.1001/jama.1917.04270020132013

This report is made in order to give our experience with forty cases of tuberculosis of the spine in which operation has been performed in a manner designed to stiffen their spinal columns by internal splintage. Two methods of operation have been used: the osteoplastic operation, known as the Hibbs operation, and the bone transplant operation, known as the Albee operation.

Of the forty patients operated on, nine had reached adult life before the onset of the disease, and thirty-one were children. The oldest patient was 37 years of age and the youngest 19 months of age. The diagnosis of tuberculosis of the spine was made positive in each case by roentgenographic study, the exact location and extent of the disease being clearly made out, and by clinical tests for tuberculosis, and, wherever possible, by guinea-pig inoculation.

Our first operation was done Oct. 5, 1912. Six patients were operated on

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