Marketos S G, Skiadas P
Department of History of Medicine, Athens University Medical School, Greece.
Spine (Phila Pa 1976). 1999 Jul 1;24(13):1381-7. doi: 10.1097/00007632-199907010-00018.
Hippocrates (5th-4th century B. C.), the founder of scientific medicine, left a valuable heritage of knowledge and methodology, which extends to almost all branches of modern medicine. Among the many fields of medicine he explored, he devoted much of his scientific interest to the study of orthopedics. In fact, some of the principles found in the Hippocratic treatises On Fractures and On Joints are still valid today. This great physician also was the first to deal with the anatomy and the pathology of human spine. In his books, he provides a precise description of the segments and the normal curves of the spine, the structure of the vertebrae, the tendons attached to them, the blood supply to the spine, and even its anatomic relations to adjacent vessels. The Hippocratic list of spinal diseases includes tuberculous spondylitis, post-traumatic kyphosis, scoliosis, concussion, dislocations of the vertebrae, and fractures of the spinous processes. Hippocrates devised two apparatuses, known as the Hippocratic ladder and the Hippocratic board, to reduce displaced vertebrae. Those pioneer methods are deemed to be the precursors to the sophisticated techniques used in spine surgery today. Because of his thorough study of spinal diseases and their management, which was the first such study in orthopedics in the history of medicine, Hippocrates should be regarded as the father of spine surgery.
希波克拉底(公元前5世纪至4世纪),科学医学的奠基人,留下了宝贵的知识和方法论遗产,其影响几乎涵盖现代医学的所有分支。在他探索的众多医学领域中,他将大量科学兴趣投入到骨科研究中。事实上,在希波克拉底的论著《论骨折》和《论关节》中发现的一些原则至今仍然有效。这位伟大的医生也是第一个研究人类脊柱解剖学和病理学的人。在他的书中,他对脊柱的节段和正常曲线、椎体结构、附着于椎体的肌腱、脊柱的血液供应,甚至其与相邻血管的解剖关系都进行了精确描述。希波克拉底列出的脊柱疾病包括结核性脊柱炎、创伤后驼背、脊柱侧弯、脑震荡、椎体脱位和棘突骨折。希波克拉底设计了两种器械,即希波克拉底梯和希波克拉底板,用于整复移位的椎体。这些先驱方法被认为是当今脊柱手术中复杂技术的前身。由于他对脊柱疾病及其治疗方法进行了全面研究,这是医学史上骨科领域的首次此类研究,希波克拉底应被视为脊柱外科之父。