Mohing W
Versicherungsmedizin. 1989 Jul 1;41(4):129-32.
If causes which cannot be clearly defined as traumatic, result in vertebral fractures or disc ruptures, the expert frequently finds himself confronted with considerable problems. He must carefully establish the relation between what is due to the trauma and what must be attributed to the pre-existing damage. This requires the pre-existing nox to be objectively cleared, especially with regard to osteoporosis. The diagnosis "osteoporosis" should be subjected to particularly careful investigation, especially if the patient is a male. X-ray photographs, taken at an early stage, are insufficient. As consequences for the patient might be heavy, intensive methods of examination are justified. Anamnesis, progress and effect must be critically weighted, exceptions from the rule must be founded on careful and logical reasoning. The above article deals with such an exception.
如果无法明确界定为创伤性的病因导致了脊椎骨折或椎间盘破裂，专家常常会发现自己面临相当大的问题。他必须仔细确定创伤所致因素与必须归因于既往损伤的因素之间的关系。这就需要客观地排除既往有害因素，尤其是在骨质疏松方面。“骨质疏松症”的诊断应进行特别仔细的检查，尤其是当患者为男性时。早期拍摄的X光片并不充分。由于对患者的影响可能很严重，采用强化检查方法是合理的。必须严格权衡病史、病情发展及疗效，规则的例外情况必须基于仔细且合乎逻辑的推理。上述文章讨论的就是这样一个例外情况。
