Davies W E, Morris J H, Hill V
J Bone Joint Surg Am. 1980 Dec;62(8):1324-8.
The cases of thirty-four patients with thoracolumbar lesions were reviewed. The neural recovery rate was substantially the same as in comprehensive reviews of surgical and conservative methods by Dickson et. al. and Burke and Murray. We suggest that reduction and maintenance of vertebral body displacement is the single most important factor in the treatment of such fractures and fracture-dislocations. The loss of correction of an angular deformity, however, does not prejudice neural recovery or physical performance during and after rehabilitation. The results of non-surgical methods in achieving reduction and maintenance of displacement were comparable with the results of surgical methods. The immobilization and hospitalization times were longer than in series that used surgical methods.
回顾了34例胸腰椎损伤患者的病例。神经恢复率与Dickson等人以及Burke和Murray对手术和保守方法的综合综述基本相同。我们认为，椎体移位的复位和维持是此类骨折和骨折脱位治疗中最重要的单一因素。然而，角形畸形矫正的丢失并不影响康复期间及康复后的神经恢复或身体表现。非手术方法在实现移位复位和维持方面的结果与手术方法的结果相当。固定和住院时间比采用手术方法的系列病例更长。
