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[使用身体支具对腰椎滑脱症进行保守治疗]

[Conservative therapy of spondylolisthesis using body braces].

作者信息

Edelmann P

出版信息

Z Orthop Ihre Grenzgeb. 1984 Mar-Apr;122(2):152-4. doi: 10.1055/s-2008-1044600.

Abstract

Twelve patients aged ten to eighteen years suffering from idiopathic scoliosis and a minor spondylolisthesis were treated by Milwaukee- or Bostonbrace during 12 to 38 months. According to Wiltse's results the spondylolysis was expected to heal under brace treatment in a certain number of cases. In fact it only happened twice out of twelve cases. The least chance for success was found when the tips of the interarticular bone parts showed a sclerosis in the x-ray-picture. We may suggest that brace treatment of minor spondylolysis or spondylolisthesis in adolescence is obviously not useful. Long term results are even worse.

摘要

12名年龄在10至18岁之间、患有特发性脊柱侧凸和轻度椎体滑脱的患者,使用密尔沃基或波士顿支具治疗了12至38个月。根据威尔茨的研究结果,预计在一定数量的病例中,椎体峡部裂在支具治疗下会愈合。事实上,12例中仅出现了2例愈合。当关节间骨部分的尖端在X光片上显示硬化时,成功的几率最小。我们可以认为,青少年期轻度椎体峡部裂或椎体滑脱的支具治疗显然无效。长期效果更差。

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