Priporočila Vertebrološkega združenja Slovenije za oskrbo zlomov prsno-ledvene hrbtenice
DOI:
https://doi.org/10.6016/ZdravVestn.3140Ključne besede:
zlomi prsno-ledvene hrbtenice, priporočila, diagnosticiranje, klasifikacija, zdravljenjePovzetek
Zlomi prsno-ledvene hrbtenice (PLH) predstavljajo širok spekter poškodb. Zdravljenje je odvisno od vrste poškodbe, splošnega stanja poškodovanca ter morebitnih pridruženih bolezni hrbtenice. Skupna ocena teh dejavnikov narekuje strategijo zdravljenja, ki je zaradi nejasnih in včasih nasprotujočih si podatkov v literaturi nemalokrat težavna. Kljub številnim odprtim vprašanjem pa v mnogih primerih lahko le hitra in usklajena veriga postopkov od začetne oskrbe na terenu do končne rehabilitacije zagotovi dober izid zdravljenja. Prispevek zato predstavi priporočila Vertebrološkega združenja Slovenije za obravnavo bolnikov z zlomom PLH. Zajemajo celotno verigo oskrbe, od oskrbe na terenu in v urgentnem centru do diagnostičnih postopkov in klasifikacije ter kirurškega zdravljenja, končno po do rehabilitacije in ambulantnega spremljanja zdravstvenega stanja poškodovanca. Posebna pozornost se posveča poškodbam z nevrološko prizadetostjo, osteoporotičnim zlomom in zlomom pri ankilozirajočih boleznih hrbtenice, ki so zaradi starajočega se prebivalstva v porastu. Namen priporočil je postaviti minimalne standarde oskrbe zlomov PLH v slovenskem prostoru. Zato priporočila temeljijo na empiričnih znanjih, upoštevajo pa tudi regionalne posebnosti slovenskega prostora.
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Avtor na prispevku, ki ga bo pripravil za Zdravniški vestnik, po pogodbi nanj prenaša vse materialne avtorske pravice, kakor izhajajo iz 22. člena Zakona o avtorski in sorodnih pravicah, in sicer pravico reproduciranja, pravico javnega izvajanja, pravico javnega prenašanja, pravico javnega predvajanja s fonogrami in videogrami, pravico javnega prikazovanja, pravico radiodifuznega oddajanja, pravico radiodifuzne retransmisije, pravico sekundarnega radiodifuznega oddajanja, pravico dajanja na voljo javnosti, pravico predelave, pravico avdiovizualne priredbe, pravico distribuiranja ter pravico dajanja v najem in vse druge pravice avtorja v skladu z ZASP.
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