Skip to main content
SpringerLink
Log in

Indikation, Technik und Ergebnisse zervikaler Fusionen

Indication, operative procedure and results of cervical fusion operations

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

After a short outline of the clinical and diagnostic features and the indications for operation of those cervical syndromes which are due to disc pathology the authors describe the operative procedure and the operation results in 212 personal cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Literatur

  • Able, M. S., Clinical and roentgenological aspects of occult fractures of the smaller elements of cervical spine. Amer. J. Surg.97.

  • Alajouanine, T., etR. Thurel, Hernie discale de la région cervicale. Rev. neurol.78 (1946), 51–53.

    Google Scholar 

  • Auf der Maur, M., Wiederherstellungschirurgie und Traumatologie, Vol. 7. Pathologisch-anatomische Grundlagen des Halswirbelsäulensyndroms. Basel-New York: S. Karger. 1963.

    Google Scholar 

  • Aronson, N., D. L. Filtzer, andM. Bagan, Anterior cervical fusion by the Smith-Robinson approach. J. Neurosurg.29 (1968), 397–404.

    Google Scholar 

  • Bettag, W., undW. Grote, Die Bedeutung der Discographie für die Behandlung des Zervikalsyndroms. Hippokrates40 (1969), 138–141.

    PubMed  Google Scholar 

  • —, undJ. Wappenschmidt, Zur Diagnostik nicht neoplastischer raumfordernder Prozesse des oberen Spinalkanals. Fortschr. Röntgenstr.: Deutscher Röntgenkongreß 1967, Teil A, 131–133. Stuttgart: G. Thieme. 1968.

    Google Scholar 

  • Bradford, F. K., andR. G. Spurling, The Intervertebral Disc. Springfield, Ill. 1945.

  • Brain, W. R., G. C. Knight, andJ. W. D. Bull, Discussion on rupture of intervertebral disc in cervical region. Proc. Roy. Soc. Med.41 (1948), 509–516.

    Google Scholar 

  • —,D. Northfield, andM. Wilkinson, The neurological manifestations of cervical spondylosis. Brain75 (1952), 187–225.

    PubMed  Google Scholar 

  • — andM. Wilkinson, The association of cervical spondylosis and disseminated sclerosis. Brain80 (1959), 456–478.

    Google Scholar 

  • Bricolo, A., eA. Benati, La discografia cervicale: Valvre diagnostico ed indicazioni. Estratto da „II Fracastoro“. Anno LIX, N. 6, Nov./Dic. 1966.

  • McBride, Herniated intervertebral disc. Indication for morticed bone-block fusion. J. Oklahoma Med. Assoc.45 (1952), 100–102.

    Google Scholar 

  • Bucy, P., R. Heimburger, andH. Oberhill, Compression of the cervical cord by herniated intervertebral discs. J. Neurosurg.5 (1948), 471–492.

    Google Scholar 

  • Bull, J. W. D., Discussion on rupture of intervertebral disc in cervical regions. Proc. Roy. Soc. Med.41 (1948), 513–516.

    Google Scholar 

  • Cantore, G., andA. Fortuna, Intersomatic fusion with calf bone „Kiel Bone Splint“ in the anterior surgical approach for the treatment of myelopathie in cervical spondylosis. Acta Neurochirurg.20 (1969), 59–62.

    Google Scholar 

  • Cloward, R. B., New method of diagnosis and treatment of cervical disc disease. Clinical Neurosurg. Proceedings of the Congress of Neurological Surgeons Chicago-Illinois 1960, 93–127. Baltimore: Williams and Wilkins Comp. 1962.

    Google Scholar 

  • —, The anterior approach for removal of ruptured cervical disc. J. Neurosurg.15 (1958), 602–617.

    PubMed  Google Scholar 

  • —, Cervical discographie. Technique, indications and use in diagnosis of ruptured cervical discs. Amer. J. Roentgenol.79 (1958), 563–574.

    PubMed  Google Scholar 

  • —, Cervical discographie. A contribution to the etiology and mechanism of neck, shoulder and arm pain. Ann. Surg.150 (1959), 1052–1064.

    PubMed  Google Scholar 

  • —, The clinical significance of the sinuvertebral nerve of the cervical spine in relation to the cervical disc syndrome. J. Neurol. Neurosurg. Psychiat.23 (1960), 321–326.

    PubMed  Google Scholar 

  • —, Treatment of acute fractures and fracture dislocations of the cervical spine by vertebral body fusion. A report of eleven cases. J. Neurosurg.18 (1961), 201–209.

    PubMed  Google Scholar 

  • Cloward, R. B., Delayed traumatic dislocation of the cervical spine. Haw. Med. J.20 (1961), 344–349.

    Google Scholar 

  • —, Surgical treatment of traumatic cervical spine syndromes. Wiederherstellungschirurgie und Traumatologie, 148–185. Basel-New York: S. Karger. 1963.

    Google Scholar 

  • Crutchfield, W. C., Further observations on the treatment of fracture dislocations of the cervical spine with skeletal traction. Surg. Gynec. Obstet.63 (1936), 513–517.

    Google Scholar 

  • Decker, K., undG. Rosenschon, Das Cervikalsyndrom, Probleme des Nervenarztes. Wiederherstellungschirurgie und Traumatologie, 84–110. Basel-New York: S. Karger. 1953.

    Google Scholar 

  • De Beyre, J., etD. de Sèze, Chirurgie du corps vertébral. Revue du Rhumatisme et des Maladies. Ostéo-articulaires21 (1954), 383–388.

    Google Scholar 

  • Dereymaeker, A., L'aspect clinique et le traitment chirurgical de la discopathie cervicale. Acad. Roy. Med. Belg.25 (1959), 346–386.

    Google Scholar 

  • —,J. P. Ghosez etR. Henkes, Le traitment chirurgical de la discopathie cervicale. Résultats comparés de l'abord postérieur (laminectomie) et de l'abord ventral (fusion comporéale), dans une cinquantaine de cas personnels. Neurochirurgie9 (1963), 13–20.

    PubMed  Google Scholar 

  • —, etJ. Mulier, Nouvelle cure chirurgicale des discopathies cervicales. La méniscotomie par voie ventrale suivie d'arthrodèse par greffe intercorporéale. Neurochirurgie2 (1956), 233–236.

    Google Scholar 

  • —, La fusion vertébrale par voie ventrale dans la discopathie cervicale. Rev. neurol.99 (1958), 597–616.

    PubMed  Google Scholar 

  • Ecklin, U., Die Altersveränderungen der Halswirbelsäule. Berlin-Göttingen-Heidelberg: Springer. 1960.

    Google Scholar 

  • Exner, G., Die Halswirbelsäule. Pathologie und Klinik. Stuttgart: G. Thieme. 1954.

    Google Scholar 

  • Francillon, M., Zur Therapie des Discushernie. Schweiz. med. Wschr.90 (1960), 422–423.

    PubMed  Google Scholar 

  • Frykholm, R., Lower cervical vertebral and intervertebral discs. Surgical anatomy and pathology. Acta chir. scand.101 (1951), 345–359.

    PubMed  Google Scholar 

  • - Cervical nerve root compression resulting from disc degeneration and root-sleeve fibrosis. Acta chir. scand., Suppl.160.

  • van Gehuchten, P., A propos du diagnostic et du traitement des compressions médullaires par hernie cervicale. Folia neurol. neurochem. Neederlandica56 (1953), 468–474.

    Google Scholar 

  • —, Les compressions de la moelle par hernie discale cervicale. Rev. Méd. Louvain5 (1953), 1–8.

    Google Scholar 

  • Groh, H., Über das Halswirbelsäulensyndrom. Münch. med. Wschr.102 (1960), 450–453.

    Google Scholar 

  • Grote, W., Indikation und Ergebnisse cervikaler Fusionen. Melsunger Medizinische Mitteilungen42 (1968), 119–132.

    Google Scholar 

  • —, Die ventrale Fusion bei der Osteochondrose und ihre Behandlungsergebnisse. Acta Neurochir.16 (1967), 218–240.

    Google Scholar 

  • — —, Die ventrale Fusion im Bereich der Halswirbelsäule bei Bandscheibenschäden. Különlenyomat AZ Idegg. Yógyászati Szemble10 (1967), 145–153.

    Google Scholar 

  • —, undJ. Wappenschmidt, Indikation und Technik der cervikalen Discographie. Zschr. Röntgenol.106 (1967), 721–727.

    Google Scholar 

  • —,R. Wüllenweber undW. Bettag, Behandlung cervikaler Luxationsfrakturen durch ventrale Fusion. Chirurg38 (1967), 138–140.

    PubMed  Google Scholar 

  • Güntz, E., Nicht entzündliche Wirbelsäulenerkrankungen. Hdb. Orthopädie, Bd. II, 537–631. Stuttgart: G. Thieme. 1958.

    Google Scholar 

  • Hill, R. C. J., The cervical disc syndrome. J. of Bone and Joint Surgery42/B (1960), 860.

    Google Scholar 

  • Höök, O., H, Lidvall, andK. E. Aström, Cervical disc protrusions with compression of the spinal cord. Neurology10 (1960), 834.

    PubMed  Google Scholar 

  • Jackson, R., The mechanism of cervical nerve root irritation. Dallas Med. J. 1952.

  • —, The cervical syndrom. Amer. Acad. of Orthopaedie Surg. Instructional Course Lectures10 (1953), 65–90.

    Google Scholar 

  • - The cervical syndrome. American. Lecture Series, 2. Aufl., 1958.

  • —, The cervical syndrom. Clin. Orthopedics5 (1959), 138–148.

    Google Scholar 

  • Jaeger, F., Der Bandscheibenvorfall. Berlin: W. de Gruyter. 1951.

    Google Scholar 

  • —, Chirurgie der Wirbelsäule und des Rückenmarks. Stuttgart: G. Thieme. 1959.

    Google Scholar 

  • —, Die operative Behandlung des Cervikalsyndroms. Wiederherstellungschirurgie und Traumatologie. Basel-New York: S. Karger. 1963.

    Google Scholar 

  • Junghanns, H., Unbeantwortete Fragen in der Erforschung und in der Behandlung von Wirbelsäulenleiden. Die Wirbelsäule in Forschung und Praxis. Stuttgart: Hippokrates-Verlag. 1959.

    Google Scholar 

  • Keck, Ch., Discographie. Arch. Surg.80 (1960), 580–585.

    PubMed  Google Scholar 

  • Kirsch, E., Kasuistischer Beitrag zum zervikalen Bandscheibenvorfall. Zbl. Path.97 (1957), 53.

    Google Scholar 

  • Lange, M., Die Wirbelgelenke. Stuttgart: F. Enke. 1934.

    Google Scholar 

  • Lazorthes, G., J. Géraud, J. Espagno, F. Amaral-Gomes etP. Moron, Syndrome de Brown-Séquard et hernie discale cervicale. Neurochirurgie7 (1961), 228–231.

    PubMed  Google Scholar 

  • Lehmann-Facius, H., Neurologische Cervikal-Syndrome. Remscheid-Lennep: Dustri-Verlag. 1954.

    Google Scholar 

  • Lindbloom, K., Disgnostic puncture of intervertebral discs in sciatica. Acta orthop. scand.17 (1948), 231–239.

    Google Scholar 

  • —, andG. Hulfquist, Absorption of prutruded disc tissue. J. of Bone and Joint Surgery31 A (1950), 557–560.

    Google Scholar 

  • Lindemann, K., undH. Kuhlendahl, Die Erkrankungen der Wirbelsäule. Stuttgart: F. Enke. 1953.

    Google Scholar 

  • Mayfield, F. H., Cervical spondylosis: A comparison of the anterior and posterior approaches. Clin. Neurosurg.13 (1965), 181–188.

    PubMed  Google Scholar 

  • Merle d'Aubignè, Arthrodèse transpéritonéal dans le traitement du spondilolysthésis de la 5e lombaire. Mémoires de l'Académie de chirurgie78 (1952), 210–219.

    Google Scholar 

  • Mulier, R., Protrusion of cervical intervertebral discs with lesion of the spinal cord. Acta Med. Scand.139 (1951), 85–104.

    PubMed  Google Scholar 

  • Naiman, J. L., W. L. Donohue, andJ. S. Prichard, Fatal nucleus pulposis embolism of spinal cord after trauma. Neurology11 (1961), 83.

    PubMed  Google Scholar 

  • Odom, G. L., W. Finney, andB. Woodhall, Cervical disc lesions. J. A. M. A.166 (1958), 23.

    Google Scholar 

  • Osmond-Clarke, Pain in the arm of cervical origin. J. of Bone and Joint Surgery37 B (1955), 515–522.

    Google Scholar 

  • Paine, E. E., andJ. D. Spillane, The cervical spine. An anatomico-pathological study of 70 specimens (using a special technique) with particular reference to the problem of cervical spondylosis. Brain80 (1957), 571 bis 598.

    Google Scholar 

  • Paillas, J. E., G. Piganiol etR. Sedan, Les compressiones de la moelle cervicale par protrusion discale. Ann. Chir.13 (1959), 17–18, 1019–1033.

    Google Scholar 

  • Pallis, C., A. M. Jones, andJ. D. Spillane, Cervicalspondylosis. Brain77 (1954), 274–289.

    PubMed  Google Scholar 

  • Poppen, J., andE. Fountain, Produced cervical intervertebral disc: Experience with 37 cases. Surg. Clin. North Amer.31 (1951), 891–896.

    Google Scholar 

  • McRae, D. L., Die Bandscheibendegeneration. Radiologische und klinische Probleme. Klin. Neuroradiologie. Stuttgart: G. Thieme. 1960.

    Google Scholar 

  • Reischauer, F., Untersuchungen über den lumbalen und cervikalen Wirbelbandscheibenvorfall. Stuttgart: G. Thieme. 1949.

    Google Scholar 

  • —, Die cervikalen Vertebral-Syndrome. Stuttgart: G. Thieme. 1960.

    Google Scholar 

  • Ricard, A., etR. Masson, Complications médullaires des discopathies cervicales (24 cas opérés). Rev. neurol.85 (1951), 420–430.

    PubMed  Google Scholar 

  • Robinson, R. A., andG. W. Smith, Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull. Johns Hopkins Hospital96 (1955), 223–233.

    Google Scholar 

  • —,E. Walker, D. C. Ferlic, andD. K. Wiecking, The results of anterior interbody fusion of the cervical spine. J. of Bone and Joint Surgery44 A (1962), 1569–1587.

    Google Scholar 

  • Schaerer, J. P., Anterior cervical disc removal and fusion. Arch. Suisse de Neurol., Neurochir. et de Psychiatr.102 (1968), 331–344.

    Google Scholar 

  • —, Cervical discography. J. of Internat. Col. Surg.42 (1964), 287–296.

    Google Scholar 

  • Schliack, H., Über das subtotale C6-Querschnittssyndrom im Stadium atrophicum nach akutem cervikalen Bandscheibenvorfall. Nervenarzt28 (1957), 330–332.

    PubMed  Google Scholar 

  • Schmorl, G., undH. Junghanns, Die gesunde und kranke Wirbelsäule in Röntgenbild und Klinik. Stuttgart: G. Thieme. 1957.

    Google Scholar 

  • Scoville, W. B., Types of cervical disc lesions and their surgical approaches. J. A. M. A.196 (1966), 105–107.

    Google Scholar 

  • —,W. Whitcomb, andR. McLaurin, The cervical ruptured disc, report of 115 operative cases. Transact. Amer. Neurol. Assoc.76 (1961), 222–224.

    Google Scholar 

  • Sheehan, S., R. B. Bauer, andJ. S. Meyer, Vertebral artery compression in cervical spondylosis. Neurology10 (1960), 968–982.

    Google Scholar 

  • Smith, G. W., Normal cervical discogramm; with clinical observations. Amer. J. Roentgenol.81 (1959), 1006–1010.

    PubMed  Google Scholar 

  • —, andP. Nichols, Technic of cervical discography. Amer. J. Roentgenol.68 (1957), 718–720.

    Google Scholar 

  • —, andR. A. Robinson, The treatment of certain cervical spine disorders by anterior removal of the intervertebral disc and interbody fusion. J. of Bone and Joint Surgery40 A (1958), 607–624.

    Google Scholar 

  • Sneider, S. E., O. P. Winslow, jr., andT. H. Pryor, Cervical discographie; is it relevant? J. Amer. J. Assoc.185 (1963), 163–165.

    Google Scholar 

  • Spillane, J., andG. Lloyd, Spastic Paraplegia in the late adult life with degeneration and protrusion of cervical discs. Lancet13 (1951), 653–659.

    Google Scholar 

  • Stinchfield andSuiton, Criteria for spine fusion with use of H bone graft. Arch. Surg.65 (1952), 542–550.

    Google Scholar 

  • Strully, K., W. Sidney, G. Gross, J. Schwartzman, andT. v. Stroch, Progressive spinal cord disease. Syndrome associated with herniation of intervertebral discs. J. Amer. Med. Assoc.146 (1961), 10–12.

    Google Scholar 

  • Stuck, R. M., Surgical removal of ruptured cervical intervertebral discs. Rocky Mountain Medical Journal, July 1960, 36–39.

  • Stuck, R. M., R. F. Hall, andE. H. Fralick, Anterior excision of ruptured cervical intervertebral disc and interbody fusion. Amer. Surg.26 (1960), 50–56.

    Google Scholar 

  • —, Cervical Discography. Amer. J. Roentgenol.86 (1961), 975–982.

    PubMed  Google Scholar 

  • Teng, P., Spondylosis of the cervical spine with compression of the spinal cord and nerve roots. J. of Bone and Joint Surgery42 A (1960), 392–407.

    Google Scholar 

  • Thurei, R., Les hernies discales cervicales et leur retentissement nerveux. Rev. neurol.85 (1951), 536–538.

    PubMed  Google Scholar 

  • Töndury, G., Entwicklung, Bau und Altersversorgung der Zwischenwirbelscheiben unter spezieller Berücksichtigung der Halsregion. Therapiewoche10 (1960), 432.

    Google Scholar 

  • Trautwein, H., undJ. Schlaap, Die Halswirbelsäule als krankheitsauslösender Faktor. Med. Welt22 (1961), 1185–1191.

    PubMed  Google Scholar 

  • Verbiest, H., Abord opératoire antérieur dans les déplacements osseux irréductibles anciens et les fractures de la colonne cervicale en cas de compression médullaire. IIe Congrès international de Neurochirurgie, Washington, Octobre 1961.

  • Walker, E., andR. A. Robinson, The resorption of cervical vertebral spurs following spinal fusion. IXe Congrès Latino-Américain de Neuro-Chirurgie, Mexico, Octobre 1961.

  • Wilkinson, M., The morbid anatomy of cervical spondylosis and myelopathy. Brain83 (1960), 589–617.

    PubMed  Google Scholar 

  • Williams, J. L., M. B. Allen, jr., andJ. W. Herkess, Late results of cervical dissectomie and interbody fusion: Some factors influencing the results. J. of Bone and Joint Surgery50 (1968), 277–286.

    Google Scholar 

  • Yoss, R. E., K. B. Corvin, C. S. McCarty, andJ. G. Love, Significance of symptoms and signs in localization of involved root in cervical disc protrusion. Neurology (Minneap.)7 (1957), 673–681.

    Google Scholar 

Download references

Author information

Author notes

  1. W. Grote & W. Bettag

    Present address: Neurochirurgische Universitätsklinik Bonn, Deutschland

  2. R. Wüllenweber

    Present address: Neurochirurgische Klinik am Klinikum Essen der Ruhr-Universität Bochum, Deutschland

Authors and Affiliations

  1. Neurochirurgische Universitätsklinik Bonn, Deutschland

    R. Wüllenweber

  2. Neurochirurgische Klinik am Klinikum Essen der Ruhr-Universität Bochum, Deutschland

    W. Grote & W. Bettag

Authors
  1. W. Grote
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. W. Bettag
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Wüllenweber
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Herrn Prof. Dr.P. Röttgen zum 60. Geburtstag gewidmet.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grote, W., Bettag, W. & Wüllenweber, R. Indikation, Technik und Ergebnisse zervikaler Fusionen. Acta neurochir 22, 1–27 (1970). https://doi.org/10.1007/BF01406764

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01406764

Search

Navigation