Prestar F J
Neurochirurgische Abteilung, Knappschafts-Krankenhauses, Bergmannsheil, Gelsenkirchen-Buer.
Aktuelle Traumatol. 1993 Feb;23(1):27-31.
25 cases with traumatic lumbar and cervical disc herniation are described and criteria for a causal connection between trauma and prolapse are discussed: 1. The accident must be adequate, e.g. jumps from considerable height, falls, car collisions and lifting heavy weights (only in private insurance companies). 2. Typical discopathic complaints must occur soon after the accident. 3. Major degenerative disease before trauma of the vertebral column must be excluded. The medical expert has to assess in each case of possible traumatic disc herniation the cause of trauma and the resulting reduction of earning capacity.
本文描述了25例创伤性腰椎和颈椎间盘突出症病例，并讨论了创伤与椎间盘突出之间因果关系的标准：1. 事故必须足够严重，例如从相当高度跳下、跌倒、汽车碰撞和搬运重物（仅适用于私人保险公司）。2. 典型的椎间盘病症状必须在事故后不久出现。3. 必须排除脊柱创伤前的主要退行性疾病。医学专家必须在每例可能的创伤性椎间盘突出症病例中评估创伤原因以及由此导致的劳动能力下降情况。
