No
crepitus was noticed. On the fourth day there was slight
hemorrhage from the mouth, which was more severe on the fifth and
sixth days. The lower jaw had been forced past the upper, until
the first molar had penetrated the tissues beneath the tongue. A
plaster-of-Paris apparatus was applied, and in two months was
exchanged for one of sole-leather. In rising from the recumbent
position the man had to lift his head with his hands. Fifty days
after the accident he suffered excruciating pain at the change of
the weather, and at the approach of a storm the joints, as well
as the neck, were involved. It was believed (one hundred and
seven days after the accident) that both fracture and luxation
existed. His voice had become guttural, but examination of the
fauces was negative. The only evidence of paralysis was in the
fingers, which, when applied to anything, experienced the
sensation of touching gravel. The mottling of the tissues of the
neck, which appeared about the fiftieth day, had entirely
disappeared.
According to Thorburn, Hilton had a patient who lived fourteen
years with paraplegia due to fracture of the 5th, 6th, and 7th
cervical vertebrae. Shaw is accredited with a case in which the
patient lived fifteen months, the fracture being above the 4th
cervical vertebra.
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