Grundy D J, Silver J R
Int Rehabil Med. 1984;6(4):162-5. doi: 10.3109/03790798409165951.
In the 1940s major amputation in paraplegic and tetraplegic patients was performed mainly for the complications of pressure sores. With the increased understanding of paraplegia, life expectancy has greatly improved, with the consequence that the chief indication for amputation is now gangrene due to atherosclerosis. The special problems of the spinal-cord-paralysed amputee are reviewed.
20世纪40年代，截瘫和四肢瘫痪患者的大截肢手术主要是为了治疗压疮并发症。随着对截瘫认识的增加，患者预期寿命大幅提高，结果是目前截肢的主要指征变为动脉粥样硬化导致的坏疽。本文对脊髓瘫痪截肢者的特殊问题进行了综述。
