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Aktuelle Traumatol 2005; 35(4): 183-202
DOI: 10.1055/s-2005-865960
Originalarbeit

Georg Thieme Verlag KG Stuttgart · New York

Die instabile traumatische Spondylolisthese C2/3 - Ergebnisse und Empfehlungen nach operativer Stabilisierung in 34 Fällen und Literaturübersicht

The Unstable Traumatic Spondylolisthesis C2/3H. Koller1 , H. Daniaux1 , H. Gruber1 , M. Blauth1 , A. Kathrein1
  • 1Universitätsklinik für Unfallchirurgie und Sporttraumatologie, Medizin Universität Innsbruck, Österreich
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Publikationsverlauf

Publikationsdatum:
07. September 2005 (online)

    Lizenzen und Reprints

Zusammenfassung

Die traumatische Spondylolisthesis C2/3 stellt eine potenziell diskoligamentär instabile Halswirbelsäulenverletzung dar. Konservative Therapiekonzepte führten in der Vergangenheit bei diesen Verletzungstypen mehrfach zu Therapieversagen und -wechsel auf operative Stabilisierung. Mit Erfahrung von über 20 Jahren in der operativen Therapie dieser instabilen Verletzungen stellen wir in unseren Langzeitergebnissen 34 vornehmlich durch ventrale Spondylodese C2/3 behandelte instabile traumatische Spondylolisthesen C2/3 vor. Mit Blick auf die durchwegs guten bis sehr guten Ergebnisse werden in einer ausführlichen Diskussion Empfehlungen zu Diagnostik, Klassifikation und Therapie vorgestellt.

Abstract

The traumatic spondylolisthesis C2/3 presents a potential discoligamentous unstable cervical spine injury. In the past several times conservative treatment of unstable types of these fractures lead to failure or change of the attempted treatment. With experience of more than 20 years in the operative treatment of these unstable injuries we present our long-term results of 34 cases. In most cases anterior fusion C2/3 was performed. With a view of our entirely good to very good results we present our recommendations for diagnostic, classification and therapy in a comprehensive discussion.

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OA Dr. med. Anton Kathrein

Universitätsklinik für Unfallchirurgie und Sporttraumatologie
Medizin Universität Innsbruck

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6020 Innsbruck

Österreich

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