Vasiliadis Elias S, Grivas Theodoros B, Kaspiris Angelos
Orthopaedic Department, "Thriasio" General Hospital, Magoula, Attica, Greece.
Scoliosis. 2009 Feb 25;4:6. doi: 10.1186/1748-7161-4-6.
Little is known about the history of spinal deformities in ancient Greece. The present study summarizes what we know today for diagnosis and management of spinal deformities in ancient Greece, mainly from the medical treatises of Hippocrates and Galen. Hippocrates, through accurate observation and logical reasoning was led to accurate conclusions firstly for the structure of the spine and secondly for its diseases. He introduced the terms kyphosis and scoliosis and wrote in depth about diagnosis and treatment of kyphosis and less about scoliosis. The innovation of the board, the application of axial traction and even the principle of trans-abdominal correction for correction of spinal deformities have their origin in Hippocrates. Galen, who lived nearly five centuries later impressively described scoliosis, lordosis and kyphosis, provided aetiologic implications and used the same principles with Hippocrates for their management, while his studies influenced medical practice on spinal deformities for more than 1500 years.
人们对古希腊脊柱畸形的历史知之甚少。本研究总结了我们目前所了解的古希腊脊柱畸形的诊断和治疗情况,主要依据希波克拉底和盖伦的医学论著。希波克拉底通过精确的观察和逻辑推理,首先对脊柱的结构得出了准确的结论,其次对脊柱疾病也有准确的认识。他引入了脊柱后凸和脊柱侧凸这两个术语,并深入探讨了脊柱后凸的诊断和治疗,对脊柱侧凸的论述则较少。用于矫正脊柱畸形时的平板创新、轴向牵引的应用乃至经腹矫正原则都起源于希波克拉底。生活在近五个世纪后的盖伦,令人印象深刻地描述了脊柱侧凸、脊柱前凸和脊柱后凸,给出了病因方面的见解,并采用与希波克拉底相同的原则进行治疗,而他的研究在超过1500年的时间里影响了脊柱畸形的医学实践。