Whiplash-Associated Disorders

被引：6

作者：

van Suijlekom, Hans ^{[2
]}

Mekhail, Nagy ^{[3
]}

Patel, Nileshkumar ^{[4
]}

Van Zundert, Jan ^{[5
,6
]}

van Kleef, Maarten ^{[1
]}

Patijn, Jacob ^{[1
]}

机构：

[1] Maastricht Univ Med Ctr, Dept Anesthesiol & Pain Management, NL-6202 AZ Maastricht, Netherlands

[2] Catharina Hosp, Dept Anesthesiol & Pain Management, Eindhoven, Netherlands

[3] Inst Anesthesiol, Pain Management Dept, Cleveland, OH USA

[4] Cleveland Clin, Bradenton, FL USA

[5] Ziekenhuis Oost Limburg, Dept Anesthesiol, Genk, Belgium

[6] Ziekenhuis Oost Limburg, Ctr Multidisciplinary Pain, Genk, Belgium

来源：

PAIN PRACTICE | 2010年 / 10卷 / 02期

关键词：

evidence-based medicine; pain; facet joint; whiplash; interventional management; CERVICAL RADIOFREQUENCY NEUROTOMY; BOTULINUM-TOXIN-A; CHRONIC NECK PAIN; TASK-FORCE; DOUBLE-BLIND; JOINT PAIN; TRIAL;

D O I：

10.1111/j.1533-2500.2009.00356.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Whiplash-associated disorders are comprised of a range of symptoms of which neck complaints and headaches are the most significant spine related. In the acute and sub-acute stage of the disorder, conservative treatment for minimally 6 months is recommended, active mobilization is slightly better than passive treatment. Thereafter, interventional treatment may be considered. The available evidence for injection of Botulinum toxin A (2 B-) and intra-articular corticosteroid injections (2 C-) supports a negative recommendation. Radiofrequency treatment of the ramus medialis (medial branch) of the ramus dorsalis is recommended (2 B+).

引用

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页码：131 / 136

页数：6

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