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Pedikelschraubennavigation

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Navigation und Robotic in der Gelenk- und Wirbelsäulenchirurgie

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Zusammenfassung

In den letzten beiden Dekaden sind transpedikuläre Fixationssysteme zum Standard für Stabilisationsverfahren im Bereich der thorakalen und lumbalen Wirbelsäule geworden. Die Zahl der instrumentierten Fusionsoperationen v.a. für lumbale und lumbosakrale degenerative Erkrankungen hat in diesem Zeitraum dramatisch zugenommen [29]. Auch im traumatologischen Bereich werden sehr weit verbreitet transpedikuläre Implantate verwendet. Laut einer Sammelstudie der „Arbeitsgemeinschaft Wirbelsäulenchirurgie“ der Deutschen Gesellschaft für Unfallchirurgie gilt die dorsale Stabilisierung mit einem Fixateur interne z.Zt. als Standardtechnik der operativen Behandlung thorakolumbaler Wirbelfrakturen [23]. Zahlreiche biomechanische Studien haben das Stabilisierungspotential transpedikulärer Implantate nachgewiesen. Dies gilt insbesondere für die Flexions/Extensionsbelastung und die laterale Biegung, zu etwas geringerem Ausmaß auch für die Torsionsbewegung. Die transpedikuläre Instrumentierung gilt als stabilste dorsale Fixationsmöglichkeit eines Wirbelsäulensegments.

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Authors
  1. U. Berlemann
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  2. J. Geerling
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  3. T. Hüfner
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Editor information

Editors and Affiliations

  1. Klinik für Orthopädie und Traumatologie Am Mühlenberg, D-37235, Hessisch-Lichtenau, Deutschland

    Werner Konermann

  2. Klinik für Orthopädie und Rheumatologie, St. Vincenz-Hospital, Danziger Str. 17, D-33034, Brakel, Deutschland

    Rolf Haaker

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© 2003 Springer-Verlag Berlin Heidelberg

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Berlemann, U., Geerling, J., Hüfner, T. (2003). Pedikelschraubennavigation. In: Konermann, W., Haaker, R. (eds) Navigation und Robotic in der Gelenk- und Wirbelsäulenchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55784-2_48

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  • DOI: https://doi.org/10.1007/978-3-642-55784-2_48

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62799-6

  • Online ISBN: 978-3-642-55784-2

  • eBook Packages: Springer Book Archive

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