[脊椎病和体育运动]
Christof Birkenmaier1, Andreas Veihelmann2, Bernd Wegener3
1Wirbelsäulenchirurgie & Skoliosezentrum, Artemed Klinikum München Süd, München, GERMANY.
概括
现代脊柱体外科手术使运动员能够更快地恢复运动. 然而,长期的脊柱融合效应,特别是在腰部地区,需要进一步研究.
科学领域:
- 整形医生 整形医生 整形医生
- 脊柱外科手术 脊柱外科手术
- 运动医学 运动医学
背景情况:
- 德国骨科和创伤学会30多年前首次为脊椎病患者发布了运动参与指南.
- 脊椎形的外科手术技术已经发生了显著的进化,其中一个显著的转变是使用脚螺杆结构的后脊柱正和融合.
研究的目的:
- 审查当前关于脊椎病患者手术后运动参与的建议和证据.
- 评估不断发展的外科手术技术对回归体育的时间表和结果的影响.
- 确定有关脊柱体外科手术和保守治疗的长期影响的知识差距.
主要方法:
- 关于脊椎形手术和体育参与研究的文献综述.
- 分析手术技术的发展趋势及其对患者康复的影响.
- 检查相关研究中报告的随访期和长期结果.
主要成果:
- 对脚螺杆结构的信心增加,有助于在正手术后更早,更广泛地恢复运动.
- 精英运动员在手术后不久就能达到手术前的表现水平.
- 有限的证据表明,新的,保持流动性的程序的长期好处是有限的.
- 在许多研究中,短时间的随访可能低估了腰椎结合的长期缺点.
- 像施罗特疗法这样的特定物理疗法的长期影响仍未得到研究.
结论:
- 当前的外科进展使得脊椎病患者,特别是精英运动员能够更快地恢复运动.
- 广泛的脊柱融合的长期后果,特别是涉及腰椎的脊柱,需要进一步的长期研究.
- 像施罗特疗法这样的保守治疗方法的疗效和长期影响需要专门的研究.
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