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Geschichte des Wirbelkörperersatzes

History of vertebral body replacement

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Zusammenfassung

Hintergrund

Heutzutage stellt der operative Wirbelkörperersatz nach Korporektomie einen Standardeingriff in der Wirbelsäulenchirurgie dar.

Fragestellung

Verlauf der geschichtlichen Entwicklung des Wirbelkörperersatzes.

Material und Methoden

Historische Beschreibung des Innovationsprozesses in der Wirbelkörperersatzchirurgie.

Ergebnisse

Die ersten ernsthaften Versuche, einen operativen Wirbelkörperersatz durchzuführen, begannen erst vor gut 50 Jahren. Über mehrere Dekaden hinweg verwendeten Wirbelsäulenchirurgen v. a. Knochentransplantate, Polymethylmethacrylat, Apatite- und Wollastonit-beinhaltende Glaskeramik oder Titan. Bekannte Wirbelsäulenchirurgen wie Scoville, Polster, Kaneda oder Harms, um nur wenige zu nennen, waren in die kontinuierliche Entwicklung des Wirbelkörperersatzes involviert.

Schlussfolgerungen

Heute stehen diverse expandierbare und nicht expandierbare Implantate zur Verfügung, und beide Implantatarten haben unverändert ihre Berechtigung. Dieser Artikel beschreibt die geschichtliche Entwicklung dieser Implantate und zeigt, wie dieser Innovationsprozess die Therapiemöglichkeiten des Chirurgen deutlich erweitert hat.

Abstract

Background

Vertebral body replacement after corpectomy is nowadays a standard procedure in spinal surgery.

Objective

Description of the developmental process of vertebral body replacement.

Method

Historical description of the innovations in vertebral body replacement.

Results

The first serious attempts to perform vertebral body replacement were initiated approximately 50 years ago. Over several decades spinal surgeons used bone grafts, polymethyl methacrylate, titanium and glass-ceramics containing apatite and wollastonite. Known vertebral surgeons, including Scoville, Polster, Kaneda and Harms, to name but a few, were involved in the continuous development of vertebral body replacement.

Conclusion

Many different expandable and non-expandable implants are now available and both types of implant can still be justified. This article describes the historical development of these implants and shows how this innovational process has significantly increased the therapy options for surgeons.

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Authors and Affiliations

  1. Orthopädische Universitätsklinik Friedrichsheim gGmbH, Marienburgstr. 2, 60528, Frankfurt, Deutschland

    T. Tarhan, D. Froemel, M. Rickert, M. Rauschmann & C. Fleege

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  1. T. Tarhan
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  2. D. Froemel
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  3. M. Rickert
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  4. M. Rauschmann
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  5. C. Fleege
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Correspondence to T. Tarhan.

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Interessenkonflikt

T. Tarhan, D. Froemel, M. Rickert, M. Rauschmann, C. Fleege geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

This article is part of a supplement sponsored by SIGNUS Medizintechnik GmbH.

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Tarhan, T., Froemel, D., Rickert, M. et al. Geschichte des Wirbelkörperersatzes. Unfallchirurg 118 (Suppl 1), 73–79 (2015). https://doi.org/10.1007/s00113-015-0084-x

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  • DOI: https://doi.org/10.1007/s00113-015-0084-x

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