The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Philosophy
The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
94. And in the last place, the articular processes form so many
distinct joints, each being furnished with all the apparatus of a
moveable joint, and thus possessing the ordinary provision for the
articulation of bones, in addition to the whole of the foregoing
securities.
95. "In the most extensive motion of which the spinal column is
capable, that of flexion, the common anterior ligament is relaxed; the
fore part of the intervertebral substance is compressed, and its back
part stretched; while the common posterior ligament is in a state of
extension. In the _extension_ of the column the state of the ligaments
is reversed; those which were extended being in their turn relaxed,
while the common anterior vertebral is now put upon the stretch. In the
_lateral inclination_ of the column, the intervertebral substance is
compressed on that side to which the body is bent. In the _rotatory_
motion of the column, which is very limited in all the vertebræ, but
more particularly in the dorsal, in consequence of their attachment to
the ribs, the intervertebral substance is contorted, as are likewise
all the ligaments. All the motions of the column are capable of being
aided to a great extent by the motion of the pelvis upon the thighs."
96. "The number and breadth of the attachments of these bones,"
says an accomplished anatomist and surgeon,[4] "their firm union by
ligament, the strength of their muscles, the very inconsiderable
degree of motion which exists between any two of them, and lastly, the
obliquity of their articular processes, especially in the dorsal and
lumbar vertebræ, render dislocation of them, at least in those regions,
impossible without fracture; and I much doubt whether dislocation even
of the cervical vertebræ ever occurs without fracture, either through
their bodies or their articular processes. The effects of each of these
accidents would produce precisely the same injury to the spinal marrow,
and symptoms of greater or less importance, according to the part of
the spinal column that is injured. Death is the immediate consequence
if the injury be above the third cervical vertebra, the necessary
paralysis of the parts to which the phrenic and intercostal nerves
are distributed causing respiration instantly to cease. If the injury
be sustained below the fourth cervical vertebra, the diaphragm is
still capable of action, and dissolution is protracted. The symptoms,
in fact, are less violent in proportion as the injury to the spinal
marrow is further removed from the brain; but death is the inevitable
consequence, and that in every case at no very distant period."
Public-domain text, read in full here on John Shaqi.
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