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August 13, 1892


JAMA. 1892;XIX(7):202. doi:10.1001/jama.1892.02420070026003

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Deformity, abscess, and paraplegia are the only complications of Pott's disease occurring with sufficient frequency to merit especial consideration. The management of these complications at the present time is much as follows:

Deformity may be more or less corrected in those cases where the reparative action has not yet reached the stage of appreciable consolidation; or it may be accepted. For correction of the deformity three methods are employed: 1. Immediate redressment by longitudinal and antero-posterior traction with weights and pulleys, the patient lying prone, followed by immobilization with the " shell-back" cuirass (Blanchard); 2. interrupted redressment by partial vertical suspension repeated at intervals of a few weeks or months, the spine being immobilized during the interval with the plaster jacket (Sayre); and 3, gradual redressment by continuous action of the anteroposterior leverage brace (Taylor). The circumstances surrounding the individual case should decide the choice of method.

It appears that reparative

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