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September 8, 1917

THE TREATMENT OF DEFORMITIES OF THE SPINE CAUSED BY POLIOMYELITIS: A REPORT OF EIGHT CASES IN WHICH FUSION OPERATIONS WERE PERFORMED

JAMA. 1917;LXIX(10):787-791. doi:10.1001/jama.1917.02590370023010
Abstract

Deformities which develop in consequence of permanent damage to the muscles of the spine from anterior poliomyelitis are among the most difficult with which the orthopedic surgeon has to deal, and I know of no means which can be depended on to prevent their progress. Plaster jackets and braces can, at best, only retard the development of deformity.

It has seemed to me practical, therefore, in such cases, to do a fusion operation on the spine exactly similar to that which has been used in the treatment of Pott's disease at the Orthopaedic Hospital since 1910.

It is my purpose to report eight cases in which this operation has beendone for scoliosis. None of these patients were operated on until long after the acute attack, and obviously one would not operate at all if there were any prospect of recovery of the muscles affected. I do not think, however, it

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