A Case Fracture—Dislocation of the Cervical Spinal Column

On July 7tli, 1893, Kali, a Hindu labourer, aged about 27, was admitted to the Monghyr Hospital, with the history that a large bag of salt had fallen on the back of his head. At the time of his admission he had complete paralysis of the muscles of the lower limbs, abdomen and thorax and back. In the upper extremity a very slight pain of flexion of the forearm, and perhaps of pronation, was practically all that remained. The deltoids and trapezii acted slightly, but the arm could not be raised at the shoulder. The intercostal muscles seemed not to act at all and re-