[Fractures of the lower cervical spine. Surgical methods and long-term outcome].
Between 1980 until 1996 we operated altogether 327 patients because of a discoligamentous or osseous injury of the lower cervical spine. In a retrospective examination we evaluated the type of the injuries, the mechanism of the accidents, the neurological status on admission and the postoperative result. With regard to the long-term results we re-investigated 170 patients who have been operated on in our Department of Neurosurgery. In none of the patients we could find a neurological deterioration after the operation. The prognosis for patients with an incomplete and complete transversal syndrome is worse concerning a regression of the neurological deficit. The ventral spondylodesis in the technique according to Cloward-Crock, Robinson and Smith and Bailey-Badgley with ventral plate fixation provided the best results and we recommend these techniques for injuries of the lower cervical spine.
Zeilinger
F S
FS
Klinik für Neurochirurgie, Unfallkrankenhaus Berlin-Marzahn mit Berufsgenossenschaftlicher Unfallklinik.
Meier
U
U
Klötzer
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion; D013127:Spinal Nerves / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Frakturen der unteren Halswirbelsäule. Operationsmethoden und Langzeitergebnisse.