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Journal of Bone and Joint Surgery, 1928;10:796-804.
© 1928 by The Journal of Bone and Joint Surgery, Inc

PROGNOSTIC SIGNS IN THE X-RAYS OF TUBERCULOUS SPINES IN CHILDREN

RALPH K. GHORMLEY M.D. and JOHN I. BRADLEY M.D.

1. Calcification in a lesion does not necessarily mean satisfactory healing.

2. Clearing or reestablishment of bony detail is a much better indication of healing.

3. Bony fusion or bony block is a favorable sign.

4. Decrease in the size of an abscess is a favorable sign, while increase in the size of an abscess is decidedly an unfavorable sign.

5. Paravertebral abscesses accompanying dorsal Pott's disease are dangerous in that they cause a much wider destruction than the original lesion. A mechanical pulsating force must play a part in their production.

6. It is suggested that early eradication of such abscesses might be attempted, but the danger of establishing a permanent sinus is serious.


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