Dürr W
Unfallchir. Abt. u. berufsgenossenschaftl. Sonderstation für Schwerunfallverletzte Ev. Stift St. Martin, Koblenz.
Langenbecks Arch Chir. 1988;Suppl 2:255-60.
Fractures of the thoracic spine are commonly treated functionally. In the thoracolumbar and lumbar region compression fractures with angulation can be treated by closed reduction and casting according to the Boehler method. Yet, stable fractures with minor deformities may be treated with advantage by early weight bearing. Primarily unstable thoracic and lumbar vertebra fractures gradually become stable with increasing fracture healing and may also be treated functionally but with prolonged bed rest of 6-12 weeks. Thus open reduction and internal fixation achieve better anatomical alignment and also allow early mobilisation and ambulation. They are therefore recently favoured.
胸椎骨折通常采用功能疗法进行治疗。在胸腰段和腰椎区域，伴有成角的压缩性骨折可根据伯勒尔方法通过闭合复位和石膏固定来治疗。然而，畸形较小的稳定性骨折早期负重治疗可能效果更佳。最初不稳定的胸腰椎骨折随着骨折愈合的进展会逐渐变得稳定，也可采用功能疗法，但需延长卧床休息6至12周。因此，切开复位内固定可实现更好的解剖复位，还能使患者早期活动和行走。所以近年来这种方法更受青睐。
