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胸腰椎损伤:非手术治疗:适应证,治疗方法。

Thoracolumbar injuries: non operative treatment: indications, management.

机构信息

Department of Trauma and Orthopaedic Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

University Hospital of Zürich, University of Zürich, Zürich, Switzerland.

出版信息

Eur J Trauma Emerg Surg. 2024 Oct;50(5):1951-1957. doi: 10.1007/s00068-024-02619-3. Epub 2024 Sep 27.

Abstract

INTRODUCTION

Thoracolumbar spine injuries can result from various traumatic events such as falls, motor vehicle accidents, and sports injuries. While surgical intervention is often indicated for complex fractures and in case of neurological deficits, non-operative treatment remains a viable option for certain types of injuries.

AIMS

This manuscript aims to provide a comprehensive overview of the specific indications and treatment options of non-operative thoracolumbar spine injuries. It seeks to provide evidence-based recommendations for selecting patients suitable for conservative management based on fracture type and stability, absence of neurological deficits, spine deformity, integrity of the posterior ligament complex and patient specific factors.

摘要

简介

胸腰椎脊柱损伤可由多种创伤性事件引起,如跌倒、交通事故和运动损伤。虽然手术干预通常适用于复杂骨折和存在神经功能缺损的情况,但对于某些类型的损伤,非手术治疗仍然是一种可行的选择。

目的

本手稿旨在提供胸腰椎脊柱损伤非手术治疗的具体适应证和治疗方案的全面概述。它旨在根据骨折类型和稳定性、无神经功能缺损、脊柱畸形、后韧带复合体完整性以及患者特定因素,为选择适合保守管理的患者提供基于证据的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f3/11599295/cab98c41f182/68_2024_2619_Fig1_HTML.jpg

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