Krämer J, Ludwig J, Wiese M, Heukamp M
Orthopädische Universitätsklinik, St. Josef Hospital, Bochum, Germany.
Z Orthop Ihre Grenzgeb. 2002 Sep-Oct;140(5):518-22. doi: 10.1055/s-2002-34006.
Since 1993 occupational influences of the spine are included into the German workman's compensation law (Berufskrankheitenverordnung). Because it is difficult to differentiate degenerative from occupational disc diseases only 3 % of the proposals have been accepted in the last years. Unfortunately most of the epidemiologic studies only consider morphologic changes of the spine but not discogenic diseases. More efforts have to be made to prevent spine diseases in the working place by exercises and back training. Our results of medical opinions in 256 cases of occupational spine diseases are presented and analysed.
自1993年起，脊柱的职业性影响被纳入德国工伤赔偿法（《职业病条例》）。由于很难区分退行性椎间盘疾病和职业性椎间盘疾病，在过去几年中只有3%的申请被接受。不幸的是，大多数流行病学研究只考虑脊柱的形态学变化，而不考虑椎间盘源性疾病。必须做出更多努力，通过锻炼和背部训练来预防工作场所的脊柱疾病。我们展示并分析了256例职业性脊柱疾病医学意见的结果。
