Dorsale Stabilisation der Halswirbelkörper HWK1/HWK2 modifiziert nach Goel-Harms mit HWK-1-Pedikelschrauben
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Dorsale Stabilisation der Halswirbelkörper HWK1/HWK2 modifiziert nach Goel-Harms mit HWK-1-Pedikelschrauben. / Viezens, Lennart; Sehmisch, Stephan; Weiser, Lukas; Dreimann, Marc; Lehmann, Wolfgang.
In: OPER ORTHOP TRAUMATO, Vol. 31, No. 4, 08.2019, p. 275-283.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Dorsale Stabilisation der Halswirbelkörper HWK1/HWK2 modifiziert nach Goel-Harms mit HWK-1-Pedikelschrauben
AU - Viezens, Lennart
AU - Sehmisch, Stephan
AU - Weiser, Lukas
AU - Dreimann, Marc
AU - Lehmann, Wolfgang
PY - 2019/8
Y1 - 2019/8
N2 - OBJECTIVE: Stabilization of the atlantoaxial transition by an alternative screw position in C1.INDICATIONS: Instabilities C1/C2 due to inflammation, tumor or trauma.CONTRAINDICATIONS: Presence of a very small pedicle of C1. Variations in the course of the vertebral arteries.SURGICAL TECHNIQUE: The midline approach to the upper cervical spine is used for the modified instrumentation of C1 with pedicle screws instead of Harms screws and for the unaltered instrumentation of C2. Depending on the indication, dorsal spondylodesis is performed by opening the laminae and attaching ceramic bone substitute material.POSTOPERATIVE MANAGEMENT: In mobile patients, additional immobilisation with a soft collar is recommended for 6 weeks. Full recovery is given 3-4 months after surgery.RESULTS: From January 2017 to September 2018, 21 stabilizations of the atlantoaxial transition were performed. The mean age was 72.52 ± 15.45 years. A total of 42 screws were placed in C1. In all, 21 (50%) C1 pedicle screwscould be placed, and in other 21 cases Harms screws were used. Complications were seen in 3 patients. Overall, considering the contraindications, the instrumentation of C1 with pedicle screws appears as a safe alternative to instrumentation with Harms screws.
AB - OBJECTIVE: Stabilization of the atlantoaxial transition by an alternative screw position in C1.INDICATIONS: Instabilities C1/C2 due to inflammation, tumor or trauma.CONTRAINDICATIONS: Presence of a very small pedicle of C1. Variations in the course of the vertebral arteries.SURGICAL TECHNIQUE: The midline approach to the upper cervical spine is used for the modified instrumentation of C1 with pedicle screws instead of Harms screws and for the unaltered instrumentation of C2. Depending on the indication, dorsal spondylodesis is performed by opening the laminae and attaching ceramic bone substitute material.POSTOPERATIVE MANAGEMENT: In mobile patients, additional immobilisation with a soft collar is recommended for 6 weeks. Full recovery is given 3-4 months after surgery.RESULTS: From January 2017 to September 2018, 21 stabilizations of the atlantoaxial transition were performed. The mean age was 72.52 ± 15.45 years. A total of 42 screws were placed in C1. In all, 21 (50%) C1 pedicle screwscould be placed, and in other 21 cases Harms screws were used. Complications were seen in 3 patients. Overall, considering the contraindications, the instrumentation of C1 with pedicle screws appears as a safe alternative to instrumentation with Harms screws.
U2 - 10.1007/s00064-019-0615-7
DO - 10.1007/s00064-019-0615-7
M3 - SCORING: Zeitschriftenaufsatz
C2 - 31240353
VL - 31
SP - 275
EP - 283
JO - OPER ORTHOP TRAUMATO
JF - OPER ORTHOP TRAUMATO
SN - 0934-6694
IS - 4
ER -
