Krämer J, Wiese M, Haaker R, Bernsmann K
Orthopädische Universitätsklinik am St.Josef-Hospital, Gudrunstrasse 56, 44791 Bochum.
Orthopade. 2001 Feb;30(2):121-7. doi: 10.1007/s001320050583.
It is difficult to find medical evidence of a correlation between a lumbar disk disease and trauma. One should consider whether the individual degeneration of lumbar disks or the trauma lead to the typical complaints. Disk disease in the population are very common. Therefore the relevance of the individual affection before trauma has to be considered. Spinal trauma with its sudden, incidental onset needs to be differentiated from purposeful and conscious movements. An intervertebral disk disease can be classified as accident related only in cases involving adequate trauma, with no previous complains, and a sudden onset of pain.
很难找到腰椎间盘疾病与创伤之间存在关联的医学证据。人们应该考虑是腰椎间盘的个体退变还是创伤导致了典型症状。人群中的椎间盘疾病非常常见。因此，必须考虑创伤前个体受影响的相关性。脊柱创伤具有突然、偶然发作的特点，需要与有目的、有意识的运动相区分。只有在涉及足够创伤、此前无相关症状且疼痛突然发作的情况下，椎间盘疾病才能被归类为与事故相关。
