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Ventrale interkorporelle Spondylodese (VIS)

  • S. Endres
  • M. Pfeiffer
  • M. Billion
  • A. Wilke

Zusammenfassung

Der Kreuzschmerz ist mit das häufigste Leitsymptom bei Patienten im Alter von über 60 Jahren, welches die Patienten in die Orthopädie führt. Die Schmerzsymptomatik wird als tiefsitzender Schmerz in der Lumbal-, Lumbosakral- und/oder Sakroiliakalregion empfunden. Oft treten diese Schmerzen auch als Lumboischialgie auf. Die häufigen akuten Formen des Kreuzschmerzes sind oft auf Probleme des Bandapparates oder der Muskulatur zurückzuführen. In diesen Fällen ist eine Abheilung die Regel. Die Schmerzen können jedoch auch in chronische Formen übergehen. Nach einer Berechnung von Bolten et al. [5] entstehen durch Rückenschmerzen volkswirtschaftliche Gesamtkosten von etwa 33,3 Milliarden DM (etwa 17 Milliarden EUR) jährlich. Der Hauptkostenfaktor hierbei sind Arbeitsausfälle, die gut 70% der Gesamtsumme ausmachen. Die direkten Kosten für die Therapie und Rehabilitation von Rückenschmerz-Patienten betragen nach der Krankheitskostenanalyse etwa 9,4 Milliarden DM (etwa 4,8 Milliarden EUR). Gut ein Drittel davon entfallen auf Arztkonsultationen und Diagnostik, 22% auf Klinikbehandlung, 21% auf Rehamaßnahmen, 17% auf physikalische Therapien und nur 5% auf Arzneimittel.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • S. Endres
  • M. Pfeiffer
  • M. Billion
  • A. Wilke

There are no affiliations available

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