275 KB11 KB200820252019Cirman, RobertHero, NikšaKramar, RobertMohar, JanezMršnik, MarinaTopolovec, Matevžletnik:18str. 50-52številka:supl. 1ISSN:1580-9315COBISSID_HOST:2641257URN:URN:NBN:SI:doc-COWYA3GHslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)degenerative diseasedegenerativno obolenjekvaliteta življenjaledvena hrbtenicalumbar spinOrthotic Devicesposterior spinal stabilisationposteriorna spinalna stabilizacijaquality of lifespinal orthosisspinalne ortozeSpinesurgeryMnenja ortopedskih kirurgov iz ortopedske bolnišnice Valdoltra o uporabi ortoz po kirurški stabilizaciji hrbtenice| The opinion of spinal surgeons from the Valdoltra orthopaedic hospital on the use of orthoses after surgical spinal stabilisation|The use of spinal orthosis after the operation of degenerative diseases on the lumbar spine is common, but also controversial. Bible with colleagues notes that 49 % of spinal surgeons routinely prescribe a spinal orthosis after surgery; as the reason, they state that the orthosis limits activity and reduces pain. Surgeons who prescribe the orthoses are not poised to follow the same guidelines for the duration of use and the type of orthosis. The goal of using a spinal orthosis after surgery is to combine support, rest, immobilisation and protection. Spinal orthosis limits the movement of the spine and serves as a psychological factor that reminds the patient of their condition. Prescription of spinal orthosis after the fusion of the vertebrae is based on the assumption that external immobilisation protects the operated area in the stage of bony fusion and increases the likelihood of fusion of the vertebrae. However, studies of spinal orthoses indicate that the orthosis does not reduce the load that is transmitted through internal fixation loads and does not stabilise the implants (screws, rods, cages). The opinion of the orthopaedic surgeons at the Valdoltra Orthopaedic Hospital is that the spinal orthosis is an important part of the early rehabilitation treatment of the patient after lumbar spine surgery and contributes to a better outcome of the treatment. Therefore, a spinal orthosis is prescribed and fitted to all our patients after surgical intervention of decompression and stabilisationUporaba spinalne ortoze po operaciji degenerativnih obolenj na ledveni hrbtenici je pogosta, a tudi sporna. Bible s sodelavci ugotavlja, da 49 % spinalnih kirurgov rutinsko predpisuje spinalno ortozo po operaciji. Kot razlog za predpis navajajo omejitev aktivnosti in zmanjšanje bolečine. Kirurgi, ki predpisujejo nošnjo ortoze po operaciji, nimajo enakih smernic za trajanje uporabe in tip ortoze. Cilj uporabe spinalne ortoze po operaciji je kombinacija opore, počitka, imobilizacije in varovanja. Spinalna ortoza omeji gibanje hrbtenice in služi kot psihološki dejavnik, ki opominja na prestani poseg. Predpis spinalne ortoze po fuziji vretenc temelji na predvidevanju, da zunanja imobilizacija zaščiti zatrjeni predel v fazi preraščanja in poveča verjetnost fuzije vretenc. Toda študije spinalnih ortoz kažejo, da ortoza ne zmanjša obremenitve, ki se prenaša preko notranjih obremenitev fiksacije, in ne stabilizira implantatov (vijakov, palic, kletk). Mnenje ortopedskih kirurgov v Ortopedski bolnišnici Valdoltra je, da je spinalna ortoza pomemben del zgodnje rehabilitacijske obravnave pacienta po operaciji na ledveni hrbtenici in prispeva k boljšemu izidu zdravljenja, zato vsem pacientom po kirurškem posegu dekompresije in stabilizacije predpišemo in izdelamo spinalno ortozoTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča