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[脊柱损伤的适应症、治疗方法选择及保守治疗结果]

[Indications, choice of procedure and results of conservative therapy of spinal injuries].

作者信息

Hierholzer G, Ludolph E

机构信息

Berufsgenossenschaftliche Unfallklinik Duisburg-Buchholz.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1992:274-7.

PMID:1493277
Abstract

For conservative treatment of injuries of the cervical spine, two different methods are available: The HALO fixator and the collar. The choice depends on the kind and extension of the injury. Stable thoracic and lumbar vertebral fractures are treated in a conservative functional way in order to strengthen the muscular apparatus. Three-point-fixation with a brace is not necessary. Functional therapeutic methods can also be applied in the case of instable fractures if they are not operable. During a rigid confinement to bed, the postural reduction by increasing lordosis has turned out to be the treatment of choice. As an essential measure the patient has to take part in a "backschool" with postural exercises for the daily life.

摘要

对于颈椎损伤的保守治疗,有两种不同的方法:头环固定器和颈托。选择取决于损伤的类型和程度。稳定的胸腰椎骨折采用保守功能治疗方法以增强肌肉组织。无需使用支具进行三点固定。如果不稳定骨折无法手术,也可采用功能治疗方法。在严格卧床期间,通过增加脊柱前凸进行体位复位已被证明是首选治疗方法。作为一项基本措施,患者必须参加“背部学校”,进行日常生活中的体位练习。

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