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伴有神经并发症的颈椎和胸腰椎骨折的治疗(作者译)

[Treatment of fractures of the cervical spine and of the dorso lumbar spine with neurological complications (author's transl)].

作者信息

Gérard Y, Segal P, Bedoucha J S, Lefort G

出版信息

J Chir (Paris). 1977;113(4):337-50.

PMID:874006
Abstract

Our surgical therapeutic attitude in neurological complications of fractures of the spine seems to us justified by the results which we have obtained. It never caused any aggravation and permitted better relief of the complications of bed rest during the early stages. It always permitted satisfactory vertebral position. It is of course difficult to say definitely whether it was responsible for the neurological recovery often observed. It is nevertheless probable in a certain number of cases and in any case, this recovery will occur under better conditions more favourable for later rehabilitation. But one should emphasise if one wishes to improve further the results, that this reduction should be performed very rapidly.

摘要

我们对脊柱骨折神经并发症的手术治疗态度,从我们所取得的结果来看是合理的。它从未导致任何病情加重,并且在早期能更好地缓解卧床休息带来的并发症。它总能使椎体位置令人满意。当然,很难确切地说它是否对经常观察到的神经功能恢复起了作用。然而,在一定数量的病例中这是有可能的,而且无论如何,这种恢复将在更有利于后期康复的更好条件下发生。但如果想进一步提高治疗效果,应该强调的是,这种复位应该非常迅速地进行。

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