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[下脊柱骨折——保守治疗后的结果]

[Fractures of the lower spine - results following conservative treatment].

作者信息

Charalambidis K, Muggler E

出版信息

Helv Chir Acta. 1980 Jun;47(1-2):129-32.

PMID:7440189
Abstract

The results of 157 fractures of the lower spine treated either after the method of Boehler or of Magnus are reported. Both treatments controlled 6 to 16 years after the initial trauma showed practically identical results which correlate with those of other authors. Nearly 50% of the patients are complaining about residual troubles. Capacity of work is reached earlier by functional treatment after Magnus. We found that by reposition of the depressed vertebra a good radiological result can be preserved in a certain amount of cases (i.e. 16%), which has been contested by many authors. We concluded therefore that in cases of heavily depressed vertebral fractures especially with Gibbus formation the anatomical realignment of the vertebral column should be tried.

摘要

报告了157例下脊柱骨折采用伯勒尔法或马格努斯法治疗后的结果。两种治疗方法在初始创伤后6至16年的对照显示,结果几乎相同,这与其他作者的结果相关。近50%的患者抱怨有残留问题。马格努斯法后的功能治疗能使患者更早恢复工作能力。我们发现,通过复位凹陷的椎体,在一定数量的病例中(即16%)可以保持良好的放射学结果,这一点受到了许多作者的质疑。因此,我们得出结论,在严重凹陷性椎体骨折尤其是伴有驼背形成的病例中,应尝试对脊柱进行解剖复位。

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