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脊柱侧弯患者的骨质疏松症与头环牵引(作者译)

[Osteoporosis and halo traction in scoliosis patients (author's transl)].

作者信息

Abu Salim F, Zielke K

出版信息

Z Orthop Ihre Grenzgeb. 1982 May-Jun;120(3):330-2. doi: 10.1055/s-2008-1051621.

Abstract

In 54 patients who underwent halo traction for an average of 80 days each, there was no laboratory evidence of any change in calcium metabolism. Histologically, there were slight but significant bony changes after termination of halo traction treatment, principally "low-turnover" osteoporosis, which was possibly more prevalent in female patients. Where a slight osteoporosis already existed prior to halo traction, it generally became more severe. The study seems to show that no relationship exists between the etiology of scolioses and the development of osteoporosis. It proves that in respect of the development of osteoporosis also, permanent halo traction is not a neutral procedure.

摘要

在平均接受了80天头环牵引的54例患者中,没有实验室证据表明钙代谢有任何变化。组织学上,头环牵引治疗结束后有轻微但显著的骨质改变,主要是“低转换型”骨质疏松症,在女性患者中可能更为普遍。在头环牵引之前就已存在轻度骨质疏松症的患者,其病情通常会变得更严重。该研究似乎表明,脊柱侧弯的病因与骨质疏松症的发生之间不存在关联。这证明,就骨质疏松症的发生而言,长期头环牵引也并非是一种中性操作。

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