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A Text-Book of Obstetrics: (English)

A Text-Book of Obstetrics: (English)

          
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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1899 Excerpt: ...the same displacements of the pelvic bones that are seen in kyphosis--7a rotation backward of the sacrum on its transverse axis; a rotation outward of the upper portions, and inward of the lower portions, of the innominate bones on their anteroposterior axes. The descent of the lumbar vertebra; drags the large arteries of the lower trunk into the pelvic inlet, so that the iliac vessels and the bifurcation of the aorta may be felt in a vaginal examination. The degree of contraction in the conjugate diameter of the inlet depends upon the descent of the last lumbar vertebra and the degree of the lordosis. The contraction is usually not excessive, but it may be so great as to preclude the possibility of the engagement of the fetal head. Etiology.--The etiology of spondylolisthesis at the lumbosacral junction is still obscure. It has been attributed to direct injuries of, and to faults of development or ossification in, the interarticular segments of the spinal arch. It is certain that these are predisposing causes, but the observations of Lane appear to demonstrate that the commonest cause of the deformity is an exaggerated pressure from the trunk above exerted often upon healthy bone. As a result of this pressure a joint is formed in the intervertebral disc, and the interarticular segments of the last lumbar vertebra undergo stretching, pressure, angulation, and atrophy until the bone is actually severed. Following or accompanying these changes in the arch, the body of the last lumbar vertebra is displaced further and further downward and forward. Spondylolisthesis has followed an injury, presumably a fracture, of the lumbar vertebras. Diagnosis.--The diagnosis of a spondylolisthetic pelvis is not easy; it can be made only by close attention to the patient's h...


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Product Details
  • ISBN-13: 9781130190533
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 288
  • Series Title: English
  • Weight: 517 gr
  • ISBN-10: 1130190536
  • Publisher Date: 01 Mar 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Spine Width: 15 mm
  • Width: 189 mm


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