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Frakturen der Halswirbelsäule

Fractures of the cervical spine

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Zusammenfassung

Bei Verletzungen der Halswirbelsäule (HWS) ist auch aufgrund der hohen Inzidenz an neurologischen Begleitverletzungen eine sorgfältige klinische und radiologische Abklärung obligat. Bei Verdacht auf das Vorliegen einer diskoligamentären Verletzung sollte eine kernspintomographische Untersuchung oder eine gehaltene Funktionsaufnahme durch den Chirurgen eingesetzt werden. Die drei wesentlichen Säulen in der Behandlung von HWS-Verletzungen stellen die Indikation, der Zugang und das gewählte Implantat dar. Dennoch wird häufig abhängig vom Frakturtyp trotz konsequenter und adäquater Therapie ein persistierendes Funktionsdefizit beibehalten. Diese Arbeit beinhaltet eine Übersicht über die häufigsten Frakturformen der HWS mit den entsprechenden Therapieregimen.

Abstract

Due to the high incidence of concomitant neurological lesions, standardized clinical and radiologic diagnostic procedures in cervical spine injuries are mandatory. Magnetic resonance imaging or a stress X-ray should be performed when discoligamentous injuries are suspected. The three most important pillars in the treatment of cervical spine injuries are the surgical indication, the surgical approach and the choice of implant. However, despite prompt and appropriate therapy many of these injuries lead to permanent functional impairment depending on the type of fracture. This article summarizes the most frequent fracture types of the cervical spine, as well as the corresponding therapeutic options and outcome.

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Authors and Affiliations

  1. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Deutschland

    H. Laurer, A. Sander & I. Marzi

  2. Klinik für Unfallchirurgie und Orthopädie, Klinikum Pforzheim, Pforzheim, Deutschland

    B. Maier

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  1. H. Laurer
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  2. A. Sander
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  3. B. Maier
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  4. I. Marzi
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Correspondence to H. Laurer.

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Laurer, H., Sander, A., Maier, B. et al. Frakturen der Halswirbelsäule. Orthopäde 39, 237–246 (2010). https://doi.org/10.1007/s00132-009-1541-4

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