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November 14, 1891

A CONSIDERATION OF TRAUMATIC LESIONS OF THE SPINE RESULTING FROM RAILROAD AND OTHER INJURIES—THEIR ETIOLOGY, PATHOLOGY AND DIAGNOSIS.Read before the Section of Medical Jurisprudence and Neurology, at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D. C., May, 1891.

Author Affiliations


JAMA. 1891;XVII(20):750-764. doi:10.1001/jama.1891.02410980008001b

Since the enormous extension of the railroad system—surface, submarine and elevated—wherein steam is utilized as a motor, the attention of surgeons and the profession has been attracted to certain special features, which commonly attend or subsequently follow accidents, sustained by individuals on cars in motion, on iron rails.

Many have maintained that injuries resulting from railway disasters, possess characteristic and positive lesions, which are peculiar to themselves, in symptomatology, pathology and termination. While, on the contrary, there are not a few, who take an opposite view and claim identity of analogy, between them and other disorganizations of tissue, in which the collision of heavy, moving bodies has been the direct cause, or in which similar physical agencies, but devoid of steam propulsion, have come into action.

In the meantime, as if to give stability and warrant to the former allegation, certain practitioners in different sections of the country have organized,