probably may be removed to his stall,
but the displacement of the bone will follow, converting the fracture
into one of the complete kind, either through the exertion of walking or
by a renewed attempt to rise after another fall before reaching his
stall. By this time the paralysis is complete, and the extension of the
meningitis, which has become established, is a consummation soon
reached.
To say that the prognosis of fracture of the body of the vertebra is
always serious is to speak very mildly. It would be better, perhaps, to
say that _occasionally_ a case _may_ recover. Fractures of the
transverse processes are less serious.
_Treatment._--Instead of stating the indication in this class of cases
as if assuming them to be amenable to treatment, the question naturally
would be: Can any treatment be recommended in a fracture of the body of
a vertebra? The only indication in such a case, in our opinion, is to
reach the true diagnosis in the shortest possible time and to act
accordingly. If there is displacement, and the existence of serious
lesions may be inferred from the nervous symptoms, the destruction of
the suffering animal appears to suggest itself as the one conclusion in
which considerations of policy, humanity, and science at once unite.
If, however, it is fairly evident that no displacement exists; that
pressure upon the spinal cord is not yet present; that the animal with a
little assistance is able to rise upon his feet and to walk a short
distance--it may be well to experiment upon the case to the extent of
placing the patient in the most favorable circumstances for recovery and
allow nature to operate without further interference. This may be
accomplished by obtaining immobility of the whole body as much as
possible, and especially of the suspected region, by placing the patient
in slings, in a stall sufficiently narrow to preclude lateral motion,
and covering the loins with a thick coat of agglutinative mixture.
Developments should be watched and awaited.
FRACTURE OF THE RIBS.
The different regions of the chest are not equally exposed to the
violence that causes fractures of the ribs, and they are therefore
either more common or more easily discovered during life at some points
than at others. The more exposed regions are the middle and the
posterior, while the front is largely covered and defended by the
shoulder. A single rib may be the seat of fracture, or a number may be
involved, and th
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