Surgical Treatment a Practical Treatise On the Therapy of Surgical Diseases for

Cover Surgical Treatment a Practical Treatise On the Therapy of Surgical Diseases for
Surgical Treatment a Practical Treatise On the Therapy of Surgical Diseases for
Warbasse, James Peter, 1866-1957
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This incision should be fully 15 cm. Long. The heavy mass of spinal muscles is crossed transversely by two parallel lines of hemostatic sutures, divided between, and the muscles retracted upward and downward. The laminae and transverse processes are thus exposed, and the transverse process of the diseased vertebra is removed with rongeur forceps. In the dorsal region the inner end of the rib also is resected. The nerves should be pro- tected from injury. The psoas muscle is separated from the b...ody of the vertebra by means of an elevator, and retracted by means of a long retractor. This exposes the side of the body which may be penetrated by a burr or gouge, and the diseased area opened and drained. This is practically the operation described by L. Mayer (Jour. Am. Med. Assoc. , March 2, 1918). The spinal nerves should be watched for and spared from injury. A jacket, brace or splint should be applied as in tuberculosis. The spine should be held in slight lordosis until the body of the vertebra becomes strong.

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