[Ventral or dorsal spondylodesis in dens basal fracture--a new classification for choice of surgical approach].
The conservative treatment of the fracture of the densbasis (type 2 according to Anderson and D'Alonzo) bears the risk of developing a pseudarthrosis in about 30%. Therefore the anterior screw fixation according to Magerl/Böhler is general accepted. When the fracture line runs from top back to front base in this method the risk of developing a pseudarthrosis increases. With an own classification in accordance to the run of fracture line type A, B and C is differentiated. In Type A and B the anterior screw fixation is recommended. In case of type C the posterior fusion of the arches C1 and C2 is biomechanically more advisable--it results an axial compression on the fracture fissure. The usefulness of the classification is demonstrated with clinical cases.
Eysel
P
P
Orthopädische Universitätsklinik Mainz.
Roosen
K
K
D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009809:Odontoid Process / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011542:Pseudarthrosis / Q000000981:diagnostic imaging; D011859:Radiography; D012307:Risk Factors; D016103:Spinal Fractures / Q000145:classification* / Q000000981:diagnostic imaging / Q000601:surgery; D013123:Spinal Fusion / Q000379:methods*
Ventrale oder dorsale Spondylodese der Densbasisfraktur--eine neue Klassifikation zur Wahl des chirurgischen Zuganges.