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October 22, 1904


JAMA. 1904;XLIII(17):1183-1188. doi:10.1001/jama.1904.92500170001

Five years ago, at the Columbus session of this Association, I reported 18 cases of laminectomy for various conditions. To these I can add twelve more operations, including two sections of the posterior cervical roots, five acute crushes, myeloma of the spine, a fracture of the odontoid process, etc. There is very little that is new that I can offer to-day, but there are, however, one or two suggestions that have come to me in studying my cases that I believe point to the possibility of the existence of certain clinical phenomena seen at operations, that have not been and probably can not be demonstrated in the laboratory nor on the cadaver. These observations, if accurately made, may help to settle the question of operative benefit per se, that has been so bitterly fought on the one side by the neurologist and on the other side by the surgeon. I