Trephining in Its Ancient and Modern Aspect

Excerpt from Trephining in Its Ancient and Modern Aspect

I think it will be admitted that at no period in the history of brain surgery has progress been more rapid than during the last two decades. Substantial additions have been made to our knowledge in every branch of this subject, "dawn has replaced empiricism, for seeing our darkness is being on the road to light."

More frequently have depressed fractures of the skull been treated surgically, basal fractures have been successfully trephined, whilst more firm is the conviction that fractures of the spine, associated with evidence of injury or pressure of the cord, should not be left to that frequent refuge of inadequacy, the vis mediatrix naturœ, but rather, that if the general and local symptoms point to lesions that can be removed or relieved by elevation or extraction of vertebral débris, or the opening of the sheath to lessen tension, this should be done by the use of the elevator and trephine.

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