Spondylolisthesis : with description of a case / by Robert W. Lovett.

  • Lovett, Robert W. (Robert Williamson), 1859-1924.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Spondylolisthesis : with description of a case / by Robert W. Lovett. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    I. (6) Separation of the Vertebral Arch due to Fracture. Frac- ture between the bodies and the lamina? of the vertebra? may occur in the lumbar vertebra?, and at first all cases of spondylosis were described as traumatic (Howship, Bell, Otto, Mayer, etc.). Now, after cases of separation of real congenital origin have been set apart, clearly traumatic cases of fracture in this locality are also to be recognized. There are such specimens in many European Fig. 4. Specimen from the museum of Kiilliker at Wurzburg, showing double delect in the vertebral arch. (Neugebauer.) museums. (Royal College of Surgeons, No. 433, three lumbar vertebra?. St. Thomas' Hospital, E. 27, fifth lumbar vertebra. Museum of Friedburg, N. O. II., two second lumbar vertebra?. Anatomical Museum at St. Petersburg, fracture of the fifth lumbar vertebra with callus, and others.) Fractures located here may occur from indirect violence, by contre-coup, as in falls, and from hyperflexion of the trunk, as at the lower lumbar region the movable vertebral column changes to the rigid pelvis, and the mechanism of such fractures can be studied in Krukenburg,7 Meyer,8 Strasser,9 Winckel,10 and Czaussouw.11 Apparently, from the case recorded in this paper such fractures also result from direct violence. II. Disease of the Sacro-vertebral Articulation. Strasser9 has advanced the theory that inflammation of the lumbo-sacral articula- tion may be the cause of the deformity. In addition to the case reported by him, a specimen in the museum of Czaussouw, at War- saw, supports the theory that such arthritis (probably of traumatic origin) may be the cause of spondylolisthesis, not only by its own effect, but by causing secondary changes in the arches and their connection with the bodies of the vertebra?.