Stabilisierung der verletzten, thorakolumbalen Wirbelsäule. Vorteile des offenen Fixateur interne

Zusammenfassung

Der „Goldstandard“ in der operativen Behandlung instabiler thorakolumbaler Verletzungen ist das klassische, offene, chirurgische Vorgehen. Mit dem offenen Vorgehen lassen sich alle Grundprinzipien der Behandlung, wie die Reposition der Verletzung, die Stabilisierung der Wirbelsäule, die Dekompression neurogener Strukturen und die Durchführung einer knöchernen Fusion, um eine langanhaltende Stabilität zu erzielen, umsetzen. Die Vorteile des offenen chirurgischen Vorgehens und im Vergleich dazu die wesentlichen Nachteile der perkutanen Stabilisierung, werden im folgenden Übersichtsartikel zusammengefasst.

Abstract

The „golden standard“ for the surgical treatment of unstable thoracolumbar injuries is the classic, open, surgical approach. With the open approach general surgical principles like the reduction of the lesion, the stabilization of the spine, the decompression of the neurogenic structures and the application of bony fusion to achieve long-term stability can be achieved. The advantages of the open surgical approach and in comparison, the disadvantages of the percutaneous stabilization techniques, are summarized in this review article.

Schlüsselwörter

Wirbelsäule - Trauma - Stabilisierung - Fixateur interne

Keywords

spine - trauma - stabilization - internal fixateur

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