JAMA. 1931;96(14):1160-1161. doi:10.1001/jama.1931.02720400058023.
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The Value of Ramisection in Spastic Paralysis  It is realized in Australia that the time has arrived for a careful evaluation to be made of the position that the operation of sympathetic ramisection occupies in the treatment of spastic paralysis. When Dr. Norman Royle in 1924 reported the results of his first ramisection on a patient suffering from spastic paralysis the result of a gunshot injury, it was felt that at last something might be done to help those afflicted by this distressing disability. Supported as he was by the late John Hunter, the work attracted such attention that they were invited to give the John B. Murphy oration in America in 1924.During the past six years the operation has been performed in large series of cases both by Dr. Royle himself and by other eminent surgeons throughout the world. It was to be expected that successes and failures


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