THE essayist on this subject, dealt with the subject from a surgical standpoint exclusively, and, among other things, spoke with special emphasis on those lesions occurring in the various regions of the spine which may induce crippling effects, without any association or implication of the elements of the cord; noteworthy among which are those neuroses arising from injury of the periph¬ eral nerves, the vascular ligamentous, osseous, synovial, or tendinous structures. A most careful survey was

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... ade of the anatomical architecture, the physics of spinal movement, and the com¬ plex and intricate physiology of function was most minutely analyzed and exhaustively considered. Dr. Manley, at the very outset, took the ground that as an etiological factor, in spinal injuries, a railroad accident possessed nothing peculiar or characteristic; that there was nothing from a psychological or physical standpoint, ing to support the assumption that there was, or ever can be, anything, entitled to the designation of " railroad spine/' He maintained, that in the cases cited by Erichsen, in defence of his theory, there was not a scintilla of proof that the railroad accident was in any way responsible for the neuroses which he set down as being dependent on it. He maintained that the clinical histories alone very strongly indicated this. In the first place, because it appears that his female patients were hysterical, and the men were of a 1 Abstract of paper presented to American Medical Association, at Wash¬ ington, May 5 to 8, 1891.