矫形器对胸腰椎骨折愈合的影响：文献综述
The effects of orthosis on thoracolumbar fracture healing: A review of the literature.
作者信息
Karimi Mohammad
机构信息
Musculoskeletal Research Center, Isfahan University of Medical Sciences, Isfahan 123456, Iran.
出版信息
J Orthop. 2015 Nov 17;12(Suppl 2):S230-7. doi: 10.1016/j.jor.2015.10.014. eCollection 2015 Dec.
BACKGROUND
Various methods have been used as a conservative treatment of stable thoracolumbar fracture. Presently, it is controversial, whether the use of spinal orthoses reduces pain and deformity associated with vertebral fracture or not. Therefore, the aim of this study was to determine the effects of orthoses on vertebral fractures healing in thoracolumbar area.
MATERIALS AND METHODS
A search was carried out on Medline, ISI web of knowledge, Google Scholar and Embasco. The keywords used included thoracolumbar fracture; brace, orthosis, and conservative treatment.
RESULTS
Twenty-one papers were selected for final analysis. The quality of the most of the papers was poor, as most of them were retrospective studies with various follow-up periods.
DISCUSSION
Based on the results of these studies, it can be concluded that subjects with a fracture of thoracolumbar achieved a high ability to return to their jobs. The use of orthosis did not influence the kyphosis angulation in subjects with stable fracture in thoracolumbar spine. The effects of orthoses would be mostly immobilization, protection and remaining.
背景
多种方法已被用于稳定型胸腰椎骨折的保守治疗。目前，脊柱矫形器的使用是否能减轻与椎体骨折相关的疼痛和畸形存在争议。因此，本研究的目的是确定矫形器对胸腰椎区域椎体骨折愈合的影响。
材料与方法
在Medline、ISI知识网、谷歌学术和Embasco上进行了检索。使用的关键词包括胸腰椎骨折；支具、矫形器和保守治疗。
结果
21篇论文被选入最终分析。大多数论文质量较差，因为它们大多是具有不同随访期的回顾性研究。
讨论
基于这些研究的结果，可以得出结论，胸腰椎骨折患者恢复工作的能力较高。在胸腰椎稳定骨折患者中，矫形器的使用并未影响后凸角度。矫形器的作用主要是固定、保护和支撑。
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