A sewn book is held by thread that passes through the fold of every section. The machine that does it is a Smyth sewer, and it is the reason a hardcover can be opened flat after eighty years.
What the machine does
Signatures arrive folded, gathered in order, and lie in a stack in the hopper. The sewer opens each signature at the middle, pushes a row of needles through the fold from the inside, and passes a shuttle or a hook to catch the thread on the outside.





