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March 1931


Arch Surg. 1931;22(3):485-494. doi:10.1001/archsurg.1931.01160030136008

One of the greatest advances in orthopedic surgery is the development and application of preventive measures in the control of deformities, particularly those of the spine. Because of familiarity with the progress and end-results of certain diseases, it is possible to institute treatment to forestall severe deformities and their inevitable accompanying functional derangement. One is no longer content to watch a case of structural scoliosis, for instance, treated by antiquated therapy, progress to a degree of deformity which is both grotesque and disabling. By a well planned spinal fusion, the mild and moderate grades of scolioses may be prevented from becoming worse, thus assuring the patient an acceptable appearance and physical fitness. Similarly, the progressive deformity of spondylitis deformans may be checked if the disease is recognized in its incipiency and the proper course of treatment immediately instituted. The purpose of this communication is to call attention to the clinical

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