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
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