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Management of acute lesions at T4 and above

Surgical stabilisation may be achieved by anterior or posterior fixation, or a combination of the two (e.g.Collins,1995).Patients managed conservatively are immobilized with bed rest; depending on the degree of instability, they may have to be maintained in spinal alignment by skull traction. Traction is applied usually by halo traction, Gardner-Wells or cone calipers (Grundy & Swain,2002).

Early mobilisation may be indicated and can be achieved using a halo brace. Care in handling and positioning during physiotherapy is discussed below (see´Acute physical management´).

Length of immobilization will vary depending on the extent of bony injury and ligamentous instability, and whether surgery has been performed. There may be several segments affected and this will also influence the length of bed rest. Multiple-level fractures in the cervical spine are usually treated conservatively by halo traction and a period of immobilization in a hard collar. Bed rest is usually for 3 months. On starting mobilisation, patients with all levels of injury will usually wear a collar of some type, depending on their stability.

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  • 霈玲
    Lv 5
    10 年前
    最佳解答

    Management of acute lesions at T4 and above

    Surgical stabilisation may be achieved by anterior or posterior fixation, or a combination of the two (e.g.Collins,1995).Patients managed conservatively are immobilized with bed rest; depending on the degree of instability, they may have to be maintained in spinal alignment by skull traction. 在T4 和aboveSurgical穩定厲害的損害的管理可能被前面或者在後的固定或者兩(e.g.Collins,1995)的結合取得 . 病患管理儲存被床不能動休息; 取決於不穩定的度,他們可能必須被頭顱牽引保持在脊柱調整過程中。 Traction is applied usually by halo traction, Gardner-Wells or cone calipers (Grundy & Swain,2002). 牽引使用通常暈牽引,加德納韋爾斯或者圓錐圓規(葛蘭迪&情郎,2002) .

    Early mobilisation may be indicated and can be achieved using a halo brace. 早期的mobilisation可能被表明並且可以被使用暈支撐臂取得。 Care in handling and positioning during physiotherapy is discussed below (see´Acute physical management´).

    在處理關心,在理療期間確定的位置被在(see cute物理management 下面討論。 Length of immobilization will vary depending on the extent of bony injury and ligamentous instability, and whether surgery has been performed. Dr.eye: 凍結的長度將變化取決於多骨的傷和ligamentous 不穩定的範圍,並且是否手術已經被進行。 There may be several segments affected and this will also influence the length of bed rest.可能有幾部分影響和這也將影響床的長度休息。 Multiple-level fractures in the cervical spine are usually treated conservatively by halo traction and a period of immobilization in a hard collar. 多步的在脊柱頸段裡的骨折通常被穿一個艱難的衣領在暈牽引和凍結的一段時期以前儲存治療。 Bed rest is usually for 3 months. Dr.eye: 床休息通常3個月。 On starting mobilisation, patients with all levels of injury will usually wear a collar of some type, depending on their stability. 一開始mobilisation,病患由於各級傷就通常穿一個一些類型的衣領,取決於他們的穩定。

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