. Un trattato di lussazioni e fratture delle articolazioni. h colore e grasso. La milza è stata notevolmente ingrandita ; itstunic ispessita e opaca ; la sua sostanza ammorbidito. Il diritto capretto-ney era di dimensioni medie e in qualche modo granulare di : il suo bacino con-tained diversi calcoli, dalle dimensioni di un pisello a quella di un dado moderatesized. Il rene sinistro era piuttosto piccola e granulare, la sua tunica saldamente aderenti. Il corpo della prima vertebra lombare sembrava avere stata fratturata attraverso, ed era notevolmente spostato indietro, per invadere il canale; il midollo spinale era stato diviso in modo che th

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. A treatise on dislocations and fractures of the joints. h color, and fatty. The spleen was considerably enlarged ; itstunic thickened and opaque ; its substance softened. The right kid-ney was of moderate size, and somewhat granular : its pelvis con-tained several calculi, from the size of a pea to that of a moderatesized nut. The left kidney was rather small and granular, its tunic firmly adherent. The body of the first lumbar vertebra appeared to have been fractured through, and was considerably displaced backwards, so as to encroach upon the canal; the spinal marrow was divided so that the body of the lower and the arch of the one above were immediately in contact with one another. The spinal marrow, for a considerable distance above this part, was completely softened, so that there was nothing but the empty sheath remaining in the canal. The cauda equina did not appear to have suffered from the compression, as it remained un-disturbed. There was a small groove through which a portion of the spinal marrow appeared to have been transmit-. 470 INJURIES OF THE SPINE. ted. The projected portion of the body of the vertebra was in a con-siderable degree loosened in texture, and appeared to have commencedulceration; it was soft, and easily separated with the knife. Thesheath surrounding the injured part of the cord did not appear to beulcerated. The spinous process of the vertebra appeared to have beendestroyed. The intervertebral substance between the twelfth dorsaland first lumbar appeared to have been destroyed, whilst in the otherparts it was softer and larger than natural. There appeared to havebeen perfect anchylosis produced between the body of the fracturedvertebra and the body of that situated above it. The arch of the frac-tured vertebra appeared to have been fractured and repaired, so that itis a very imperfect one. The articular processes were so very indis-tinct as to render it impossible to distinguish them. Case CCCXL.—John Lias, set. thirty-four, was

Parole chiave associate all'immagine

• bookcentury1800
• bookdecade1840
• booksubjectfractur
• bookyear1844