title: [Surgical stabilization of C1 and C2 fractures].
abstract: We present operative procedures for the stabilization of fractures of C1 and C2. As is the case for fractures of the extremities, a direct approach to the injury should be attempted in order to avoid the inclusion of intact segments in the spondylodesis. The aim of the three presented techniques - direct screw fixation of fracture of the dens axis and traumatic lysis of C2 - is to active anatomical reconstruction by optimal stabilization. The new technique of transarticular screw fixation of C1-2 developed by Magerl allows unisegmental three-dimensional stabilization in cases in which at least a three-level fusion would have previously been considered necessary.
mesh_terms: D001863:Bone Screws; D001270:Cervical Atlas / Q000293:injuries; D002574:Cervical Vertebrae / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D009809:Odontoid Process / Q000293:injuries; D011183:Postoperative Complications / Q000209:etiology
vernacular_title: Operative Stabilisierung bei Frakturen von C1 und C2.