A Treatise on Surgery, Vol. 2 (Classic Reprint)
(Excerpt from A Treatise on Surgery, Vol. 2
If the cathet...)
Excerpt from A Treatise on Surgery, Vol. 2
If the catheter is not employed early in the case, retention of urine and dribbling of the accumulation (ischuria paradoxa), followed by alkaline de composition, take place.
The insensibility of the skin and trophic disturbances lead to troublesome bedsores (acute decubitus). The sacrum and other pelvic bones may become bared, the patient dying from general septic infection.
Fracture of the arches occurs most frequently in the lower dorsal and lumbar region. Here the body is not bent, but the crushing force is trans ferred from the bony spinous processes to the arches, the latter giving way usually on both sides. Union takes place by connective - tissue formation and not by the formation of callus.
Symptoms. - The_ spinous process of the broken vertebra is depressed. Exceptionally the spinous process and arch may be displaced laterally (l o s s e n). Symptoms of concussion, rupture of the cord, and compression may also be present. Attempts to elicit crepitus should be very carefully made lest fresh damage be inflicted 'on the cord.
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