Excerpt from The Therapeutic Gazette, 1894, Vol. 18: A Monthly Journal of General, Special, and Physiological Therapeutics
In the dorsal region, Shafer (journal of tire American [medical Association, December 1 9, 1891, 943) proposed to incise the soft tissues one inch from the spinous processes, uncover and remove the transverse process of the diseased bone or of the one just below it, and resect the head and neck of the corresponding rib. This permits a large finger to reach the postero lateral angle of the diseased bone, and gives room for the introduction of the curette, sharp spoon, or forceps, and leaves a large space for a drainage-tube. Should it be desired to carry the drainage-tube through the column, the trans verse process with the end of the rib of the op posits side can also be removed, when it can readily be passed through.
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