Rehabilitation nach traumatischen Frakturen der Brust- und Lendenwirbelsäule

Abstract

On the basis of the S2-k guideline "Rehabilitation after traumatic fractures of the thoracic und lumbar spine without neurologic disorder", this article gives an overview of target-oriented rehabilitation of patients with minor fractures or those with column stability and unstable spinal fractures which are stabilised by surgery. To obtain early social and job related reintegration, outpatient or inpatient rehabilitation has to start immediately after treatment in hospital. Rehabilitation must be orientated towards the biopsychosocial model of ICF and has to be adapted for the patient. The overall goal of rehabilitation is functional restoration of patient health to enable participation in society, life and job. Individual goals may change during rehabilitation, because of differential progress in therapy. Pain management must be orientated towards individual requirements and mental health has to be tested early, especially in polytrauma patients. Disorders have to be treated by psychotherapy, because psychic stress supports chronification of pain. Generally early exercise and physiotherapy are recommended in the guideline, with patient education for health-seeking behavior. Otherwise an orthesis device is not really necessary for treatment of a stable fracture. To improve the outcome of rehabilitation aftercare, treatment has to be arranged during rehabilitation, especially for employed patients.

A randomized controlled study on systematic nursing care based on health empowerment theory and its effect on the self-care and functional abilities of patients with spinal fractures

“…Additionally, patients were educated on self-help skills for rehabilitation, such as precautions in performing daily activities and exercise methods, and so on to promote functional recovery. Knowledge education : We offered individualized education programs for patients to improve their understanding of fractures, increase their awareness of their condition and guided them on how to prevent and respond to possible complications as well [ 6 ]. Psychological support : As per the psychological state of the patients, we offered positive psychological interventions such as emotional support, positive psychological training and the like to relieve their psychological stress, and improve their self-esteem and compliance with treatment [ 7 ].…”

“…Knowledge education : We offered individualized education programs for patients to improve their understanding of fractures, increase their awareness of their condition and guided them on how to prevent and respond to possible complications as well [ 6 ].…”

Reporte de cinco años de las fracturas traumáticas de la columna lumbar

“…7 La rehabilitación debe comenzar lo antes posible, ya sea ambulatoria u hospitalaria, para lograr una rápida reintegración social y profesional. 45 En un seguimiento de 10 años, de pacientes operados de columna por fractura traumática, 60% de los pacientes permanecieron en el grado ASIA preoperatorio, 17.8% mejoraron un grado, 15.6% mejoraron dos grados y 6.7% mejoraron tres grados. 44 El objetivo del presente estudio fue conocer la prevalencia y características clínicas de las fracturas traumáticas de la columna lumbar, del 2017 al 2021 en nuestra unidad médica.…”

Construction and validation of a nomogram prediction model for chronic low back pain after PKP for lumbar compression fractures

“…[ 5 , 6 ] Currently, there are 3 main treatment options for lumbar compression fractures: one is conservative treatment, in which the patient requires long-term bed rest, oral pain medication, and braces; the second is a surgical treatment with traditional open surgery treatment; and the third is a minimally invasive surgical treatment with percutaneous kyphoplasty (PKP). [ 7 – 9 ] Compared with the first 2 treatment modalities, PKP has the advantages of less trauma, shorter operative time, less intraoperative bleeding, faster recovery, earlier ambulation, and fewer postoperative complications, etc. [ 10 , 11 ] PKP is currently the most mainstream modality for the treatment of lumbar compression fractures.…”