A Manual of Surgical Anatomy

Cover A Manual of Surgical Anatomy
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10. 11 ; S. i. 2. 3.
Testis. T. 10. II. 12; L. I (?).
Section of the posterior nerve roots is frequently under- taken for such conditions as spastic paralysis, the gastric crises of tabes, and to relieve pain in inoperable spinal tumours.
In spastic paralysis affecting the upper extremity, the posterior roots from the fifth cervical to the second thoracic on both sides are divided ; for spastic paraplegia all the lumbar and sacral posterior roots should be severed. Gastric crises can be prevent
...ed by section of the posterior roots from the fifth to the twelfth thoracic, both inclusive.
Meninges. — These extend down to the second or third sacral spines. The spinal dura mater has not the same intimate relation to the bones surrounding it as the cranial dura mater has, consequently trauma of the vertebrae is not always followed by damage to, or inflam- mation of the spinal membranes, as is so frequently the case in head injuries.
The cord and its membranes may be injured by punctured wounds in the cervical region, where the laminae are horizontal, and separated by slight intervals ; 220 THE SPINE or the cord may be reached through the occipito- atlantoid space.


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