Identifier: orthopaedicsurge00tayl (find matches)
Title: Orthopaedic surgery for students and general practitioners : preliminary considerations and diseases of the spine : 114 original illustrations
Year: 1907 (1900s)
Authors: Taylor, Robert Tunstall, 1867-
Subjects: Orthopedics Spine Children Orthopedics Spine Pediatrics
Publisher: Baltimore : Williams & Wilkins Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Text Appearing Before Image:
Fig. 62. Showing Method of Correcting Model. and I feel the correction or lessening of the cervical and lum-bar lordosis as important as the dorsal kjrphosis. So the next step is to correct in the cast the lordosis aboveand below the deformity by sawing a wedge out and mend-ing with wet plaster so that the back is flattened. In thecervical region the object to be striven for is such a positionof the head as would correspond with that assumed inendeavoring to make as many double chins as possiblefor thereby the cervical lordosis is lessened to the maximumdegree by extreme flexion of the head. We have observed in children wearing the Taylor backbrace and head ring how at times they walk with a forwardleaning from the hips which is both ugly and awkward, and
Text Appearing After Image:
134 ORTHOP-EDIC SURGERY. to help correct this by this method we cut out the cast some-what in the region of the gluteal muscles. The whole is thensmoothed where rough, with draw-knife and sandpaper. We have now the fully corrected cast ready to make theshell over. It is to be noted that the whole trunk and neckare now longer, by converting the curves into straight lines,which is what we aim for in traction with a head sling.Such a shell is then made over the image of the patient(corrected) and fits admirably. The objection to the plaster of paris, paper or felt shellsis that they so soon soften, especially at the shoulders, andas the shoulder portion is of one of the most essential parts,it is a serious objection. These shells take a great deal ofcare and time to make of felt and of a uniform thicknessthroughout of plaster of paris, so that they must necessarilybe expensive, and if of short life, the parents of patients rebel,and are not satisfactory to the surgeon in obtaining reliab

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