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May 1922


Arch Surg. 1922;4(3):598-623. doi:10.1001/archsurg.1922.01110120115005

The cases reported herewith are from the service of the New York Orthopedic Dispensary and Hospital.

Of these twenty-two cases of fracture-dislocation of the spine, one was in the cervical region, two were in the dorsal region, two in the dorsolumbar region, and seventeen in the lumbar region. Of the last named, eleven were of the fifth lumbar vertebra.

There was a definite history of severe traumatism in the cervical case, in the two dorsal cases, in the two dorsolumbar cases, and in twelve of the lumbar cases. In five of the last, the injury had occurred in childhood. The symptoms in three cases, except those of short duration occurring immediately after the injury, did not appear until adult life when ossification of the vertebrae was complete. In one instance, Case 18, that of a motorcycle accident, the traumatism was severe; but the only conscious injury at the time was