Niethard F U
Aktuelle Traumatol. 1985 Aug;15(4):159-64.
The following conclusions were drawn from a follow-up study of 62 patients who had been treated with the three-point brace for vertebral fracture: It was found that the only statistically significant factor influencing an increased "sintering" is the additional involvement of the posterior wall of the vertebral body. Final results are not significantly influenced by preexisting osteoporosis, amount of primary deformation, accompanying lateral compression, age and sex, period of wear of the three-point brace, and follow-up examination interval. We can conclude from the results that "sintering" of the vertebral bodies after fracture is mostly completed already 6 weeks after the accident. No reduction of vertebral fractures was observed. The remaining deformation of the vertebral body must, therefore, be considered in connection with the patient's age in all cases of early functional or repositioning or immobilising treatment.
通过对62例接受椎体骨折三点支撑治疗患者的随访研究得出以下结论:发现影响“骨痂形成”增加的唯一具有统计学意义的因素是椎体后壁的额外受累情况。最终结果不受既往骨质疏松症、初始变形量、伴随的侧方压缩、年龄和性别、三点支撑的佩戴时间以及随访检查间隔的显著影响。从结果中我们可以得出结论,骨折后椎体的“骨痂形成”大多在事故发生后6周就已基本完成。未观察到椎体骨折的复位情况。因此,在所有早期功能或复位或固定治疗的病例中,必须结合患者年龄考虑椎体的剩余变形情况。