Gautschi O P, Frey S P, Cadosch D, Zellweger R
Department of Orthopaedic and Trauma Surgery, Royal Perth Hospital, University of Western Australia, Perth.
Praxis (Bern 1994). 2007 May 23;96(21):843-50. doi: 10.1024/1661-8157.96.21.843.
Whiplash injuries of the cervical spine are of paramount clinical and socioeconomic importance. To date, many problems in regard to diagnosis, classification, treatment and assessment have not been sufficiently solved. Diagnosis is often made subjectively and the ideal mode of treatment is still the subject of controversy. Scientific progress has lead to the development of a prognostic classification system, objective diagnostic tests, different treatment modalities and, perhaps most importantly, the production of more secure automobiles. Current scientific evidence of the assessment and treatment of whiplash injuries is only partially integrated into clinical routine, although modern strategies of combining medicamentous therapy with early physiotherapy has shown good results. Clear dignostic criteria and treatment guidelines would conquer the cost explosion associated with whiplash injuries largely evident in the Swiss-German population.
颈椎挥鞭伤在临床和社会经济方面具有至关重要的意义。迄今为止，在诊断、分类、治疗和评估方面的许多问题尚未得到充分解决。诊断往往主观做出，理想的治疗方式仍存在争议。科学进步促使了预后分类系统、客观诊断测试、不同治疗方式的发展，或许最重要的是，更安全汽车的生产。尽管药物治疗与早期物理治疗相结合的现代策略已显示出良好效果，但目前关于颈椎挥鞭伤评估和治疗的科学证据仅部分融入临床常规。明确的诊断标准和治疗指南将在很大程度上克服瑞士德语区人群中与颈椎挥鞭伤相关的成本激增问题。
