A Case of Spondylitis Deformans. (Strumpell-Marie Type)

and K h-e was a " rough rider " in a cavaky regme u had given a history of many falls from hoiseoac an x-ray examination was done, which revealed the much-missed diagnosis, viz., a condition of spondylitis deformans of the osteo-arthritic type. The condition was characterised by spinal rigidity of gradually increasing severity accompanied by sensory symptoms referred to the lumbar region and the buttocks, with neuralgic pains and areas of hyperalgesia. The skiagram is quite characteristic showing lipping, bony out-growth, and synostosis of the vertebra) of the lower thoracic and lumbar regions. The points of interest in this case are:? (1) The importance of an x-ray examination in cases of so-called "lumbago." (2) The youth of the patient ; spondylitis deformans is usually seen in elderly labouring men. (3) The condition was obviously of traumatic origin.