Heyde C E, Ertel W, Kayser R
Zentrum für spezielle Chirurgie des Bewegungsapparates, Klinik für Unfall- und Wiederherstellungschirurgie, Charité, Campus Benjamin Franklin, Universitätsmedizin, Hindenburgdamm 30, 12200 Berlin, Germany.
Orthopade. 2005 Sep;34(9):889-905. doi: 10.1007/s00132-005-0847-0.
The management of spine injuries in polytraumatized patients remains a great challenge for the diagnostic procedures and institution of appropriate treatment by integrating spinal trauma treatment into the whole treatment concept as well as following the treatment steps for the injured spine itself. The established concept of "damage control" and criteria regarding the optimal time and manner for operative treatment of the injured spine in the polytrauma setting is presented and discussed.
对于多发伤患者的脊柱损伤管理而言，将脊柱创伤治疗纳入整体治疗理念并遵循受伤脊柱本身的治疗步骤，这对诊断程序和适当治疗的实施仍是巨大挑战。本文介绍并讨论了“损伤控制”的既定概念以及多发伤情况下受伤脊柱手术治疗的最佳时机和方式的标准。
