Nonsurgical management of spon-dylo

Nonsurgical management of spon-dylolysis includes bracing, activity modification, NSAIDs, and physical therapy, but no evidence-based rec-ommendations exist for establishing best practice guidelines. A meta-analysis of 15 observational studies with a total of 665 patients demon-strated that 558 patients (83.9%) with spondylolysis were successfully treated nonsurgically. The clinical outcome often did not correlate with radiographic union, especially in the case of lesions that were chronic or bilateral. The authors also reported the lack of a significant difference in results for patients treated with a brace and those treated without a brace.

結果 (中文) 1:

非手术管理的海绵 dylolysis 包括支撑、 活性改性、 非甾体类抗炎药和物理治疗，但没有证据为基础的 rec ommendations 存在建立最佳做法指南。Meta 分析的 15 项观察性研究共 665 例补强 558 例腰椎峡部裂 （83.9%) 成功地被选择保守治疗。与射线的联盟，尤其是慢性损伤或双边的病变，临床结果往往并不相关。作者也报道缺乏显著性的差异，在结果中的支具治疗的患者和那些治疗没有大括号。

結果 (中文) 3:

自发的dylolysis非手术治疗包括支撑、活性改性，非甾体抗炎药和物理治疗，但没有循证推荐存在建立最佳实践指南。一项荟萃分析665例患者表明，558例患者15个观察性研究（83.9%）非手术治疗腰椎峡部裂患者均成功。临床结果往往没有与影像学结合，特别是在病变的情况下，慢性或双侧。作者还报道了缺乏一个括号和那些没有括号的治疗的患者的结果的显着差异。