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Robert O. Ritter, M.D.
JAMA. 1937;108(21):1797. doi:10.1001/jama.1937.92780210002011a.
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C. H., a boy, aged 11 years, first came under observation in the outpatient orthopedic department of St. Luke's Hospital in 1925. He had a marked kyphos, the result of tuberculosis of the sixth, seventh and eighth dorsal vertebrae. After several months' observation, the disease still being active, a spine fusion operation was performed by the Hibbs method March 22, 1926. The first to the eleventh dorsal vertebrae, inclusive, were fused. There was nothing unusual about the convalescence, and after four months the patient left the hospital wearing a back brace with head support. Six weeks later he re-entered the hospital because of inability to control the legs. He was immobilized for three months on a Bradford frame without any improvement. November 23 the site of the original operation was explored with the expectation of finding a lack of fusion. On the contrary, there was a complete ankylosis. The


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