Schlickewei W, Schützhoff G, Kuner E H
Abteilung Unfallchirurgie, Klinikum der Albert-Ludwigs-Universität Freiburg.
Unfallchirurg. 1991 Jan;94(1):40-4.
We describe the concept of early functional treatment for patients with stable fractures of the lower thoracic and lumbar spine. Between 1983 and 1985, 102 patients treated in our department were mobilized after an average of 7 days in the three-point brace, which stabilizes the spine in the correct position. At the same time we begin with physiotherapy, which is continued after discharge from the clinic (after an average of 10 days). Our patients wear the brace for an average of 10 weeks. Moreover, 22 patients were mobilized early without a brace. On follow-up examination of 87 patients after an average of 2 1/2 years we found good or very good results more than 85% of patients in both groups. A little loss of reduction was seen despite the three-point brace, but the "sintering" was a little less pronounced than in patients mobilized early without a brace. Moreover, the brace prevents dangerous movements, so that the patients feel more secure.
我们描述了下胸段和腰椎稳定骨折患者早期功能治疗的概念。1983年至1985年间，我们科室治疗的102例患者在使用三点式支具平均7天后开始活动，该支具可将脊柱稳定在正确位置。同时，我们开始进行物理治疗，出院后（平均10天）继续进行。我们的患者平均佩戴支具10周。此外，22例患者未使用支具而早期开始活动。在对87例患者平均随访2年半后，我们发现两组中超过85%的患者结果良好或非常好。尽管使用了三点式支具，但仍有轻微的复位丢失，不过与未使用支具早期活动的患者相比，“骨质融合”现象稍轻。此外，支具可防止危险动作，因此患者感觉更安全。
