Mayo Clinic Department of Anesthesiology, Phoenix, AZ, USA.
Anesthesiology Department, University of Wisconsin, Madison, WI, USA.
Curr Pain Headache Rep. 2024 Jun;28(6):501-506. doi: 10.1007/s11916-024-01233-7. Epub 2024 Feb 26.
PURPOSE OF REVIEW: Bracing represents a prevalent conservative, non-surgical approach used in the management of chronic spinal conditions such as spondylosis, degenerative disc disease, and spondylolisthesis. A wide variety of orthoses are available to aid in addressing cervical, thoracic, lumbar, thoracic, and SI joint pain. In this review, we aim to comprehensively examine brace types with their current applications and implications of usage. RECENT FINDINGS: There are multiple cervical bracing options, such as soft and rigid collars, to assist in managing acute trauma and chronic degenerative conditions. The review highlights the nuanced decision-making process between hard and soft collars based on the severity of bone or ligamentous injury and neurological findings. Orthoses for low back pain are commonly used. The review highlights the challenges of chronic neck and lower back pain, emphasizing the importance of clinicians exploring all treatment strategies including braces which can improve function and reduce pain.
目的综述:支具是一种广泛应用的保守治疗方法,适用于治疗慢性脊柱疾病,如颈椎病、椎间盘退行性疾病和脊椎滑脱等。有多种矫形器可用于治疗颈椎、胸椎、腰椎、胸腰椎和骶髂关节疼痛。在这篇综述中,我们旨在全面检查各种支具的类型、其当前应用以及使用的影响。
最新发现:有多种颈椎支具选择,如软颈围和硬颈围,以帮助治疗急性创伤和慢性退行性疾病。综述强调了根据骨或韧带损伤和神经学发现的严重程度,在硬颈围和软颈围之间做出细致决策的过程。腰痛矫形器也常用。综述强调了慢性颈部和下腰痛的挑战,强调了临床医生探索所有治疗策略的重要性,包括支具,这可以改善功能和减轻疼痛。
Curr Pain Headache Rep. 2024-6
J Am Acad Orthop Surg. 2010-11
Am Fam Physician. 1984-3
Clin Neurol Neurosurg. 2014-3
BMC Musculoskelet Disord. 2016-7-11
Healthcare (Basel). 2021-1-13
Spine (Phila Pa 1976). 2019-12-15
Orthop Rev (Pavia). 2018-12-6
Semin Neurol. 2018-12
Neuromodulation. 2018-1