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Wirbelsäulenverletzung im Sport

Versorgungsstrategie und klinische Ergebnisse

Spinal column injuries in sport

Treatment strategies and clinical results

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Zusammenfassung

Hintergrund

Die Behandlung von Sportlern mit Wirbelsäulenverletzungen stellt besondere Ansprüche an die Versorgungsqualität im Hinblick auf die Wiedererlangung der sportlichen Leistungsfähigkeit. Die vorliegende Studie untersucht, inwieweit dieses Ziel durch den Einsatz aktueller Therapieverfahren realisiert werden kann.

Material und Methoden

96 Patienten mit Wirbelsäulenverletzungen der BWS und LWS im Rahmen von Sportunfällen wurden in einem Zweijahreszeitraum prospektiv erfasst. Die Behandlung erfolgte in Abhängigkeit von der Verletzungsschwere in 19% der Fälle konservativ, 81% wurden operativ behandelt. Ermittelt wurde das Aufrichtungsergebnis, der Korrekturverlust sowie der VAS- und Odom-Score. Abschließend wurde eine Befragung zur Wiedererlangung der Sportfähigkeit durchgeführt.

Ergebnisse

91% der Patienten wurden wieder sportfähig, 9% mussten jede sportliche Tätigkeit – meist aufgrund neurologischer Ausfälle – einstellen. Der geringste Korrekturverlust wurde bei dorsoventraler Versorgung, der höchste bei konservativer Behandlung ermittelt.

Schlussfolgerung

Aktuelle Verfahren zur Behandlung von Wirbelsäulenverletzungen nach Sportunfällen lassen in den meisten Fällen eine Wiederaufnahme sportlicher Aktivitäten zu.

Abstract

Background

The management of patients with sport-related injuries of the spine is a challenging issue with regard to the ability to resume former sport activities. The current study analyses the rate of resumption of sports participation after conservative and operative treatment.

Methods

In a 2-year period, 96 patients with sport-related injuries of the thoracic and lumbar spine were included in this prospective study. Conservative (19%) or operative treatment (81%) was performed depending on the extent, severity and instability of the trauma. The reduction, the loss of reduction over time and the VAS and Odom scores were assessed. A questionnaire was included to estimate the rate of resumption of sports participation.

Results

Of the patients 91% resumed sports participation and 9% had to abandon all sport activities mostly due to neurological deficits. Minor loss of correction was found in patients with 360° short segment fusions and major loss was found after conservative treatment.

Conclusion

The current management of injuries of the spine effectuates a high rate of resumption of sports activity following conservative or operative treatment.

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Authors and Affiliations

  1. Berufsgenossenschaftliche Unfallklinik Murnau, Prof.-Küntscher-Str. 8, 82418, Murnau, Deutschland

    P. Merkel, S. Hauck, F. Zentz, V. Bühren & R. Beisse

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  1. P. Merkel
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  2. S. Hauck
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  3. F. Zentz
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  4. V. Bühren
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  5. R. Beisse
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Correspondence to P. Merkel.

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Merkel, P., Hauck, S., Zentz, F. et al. Wirbelsäulenverletzung im Sport. Unfallchirurg 111, 711–718 (2008). https://doi.org/10.1007/s00113-008-1456-2

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  • DOI: https://doi.org/10.1007/s00113-008-1456-2

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