Lazarus M D, Born C T
UMDNJ/Robert Wood Johnson Medical School, Division of Orthopaedic Surgery, Camden 08103, USA.
Curr Opin Gen Surg. 1993:46-54.
During the past year, several important advances have occurred in the diagnosis and treatment of orthopedic trauma. The increased use of magnetic resonance imaging in the diagnosis of acute cervical spine injuries has enhanced the ability to treat these patients. The development of better fixation systems for the lumbar spine, particularly pedicle screw systems, has increased our ability to stabilize and decompress fractures and fracture-dislocations in this region. New techniques for pelvic stabilization have proved useful in the treatment of these complex injuries. In extremity trauma, the association of compartment syndrome with intramedullary nailing has gained more attention and more aggressive treatment is advocated for fractures secondary to penetrating trauma.
在过去一年中，骨科创伤的诊断和治疗取得了几项重要进展。磁共振成像在急性颈椎损伤诊断中的使用增加，提高了治疗这些患者的能力。腰椎更好的固定系统的发展，特别是椎弓根螺钉系统，增强了我们稳定和减压该区域骨折及骨折脱位的能力。骨盆稳定的新技术已证明对治疗这些复杂损伤有用。在四肢创伤方面，骨筋膜室综合征与髓内钉固定的关联受到了更多关注，对于穿透性创伤继发的骨折提倡更积极的治疗。
