Jani L
Orthopädische Klinik des Klinikums Mannheim, Universität Heidelberg.
Z Kinderchir. 1987 Dec;42(6):333-8. doi: 10.1055/s-2008-1075615.
A follow-up study of more than hundred spinal fractures in children and adolescents pointed out that treatment and prognosis depends on the injury involving the growth-plate. In compression fractures without injury of the growth-plate spontaneous correction can be expected during further growth, especially if the wedge-shaped compression was in the sagittal plane alone. Spinal fractures with damage of the growth plate always result from a severe accident. These compound fractures, luxations and luxation-fractures require an exact repositioning and stable fixation to avoid growth disturbances such as progressive scoliosis and kyphosis originating from the unreduced fracture. Reposition and fixation can be managed by modern surgical methods more carefully, more exactly and with greater stability than with conservative methods. Furthermore surgical procedure allows removal of mechanical obstructions within the spinal channel. The origin, clinical appearance and treatment of apophyseal tearing out from the vertebral body are discussed.
一项针对一百多例儿童和青少年脊柱骨折的随访研究指出，治疗和预后取决于涉及生长板的损伤情况。在未损伤生长板的压缩性骨折中，随着进一步生长有望实现自发矫正，尤其是当楔形压缩仅在矢状面时。生长板受损的脊柱骨折总是由严重事故导致。这些复合骨折、脱位及脱位骨折需要精确复位和稳定固定，以避免因骨折未复位而引发的诸如进行性脊柱侧凸和后凸等生长紊乱。与保守方法相比，现代手术方法能更仔细、精确且稳定地进行复位和固定。此外，手术操作还能清除椎管内的机械性梗阻。文中还讨论了椎体骨骺撕脱的起源、临床表现及治疗方法。
