Kortmann H R, Wolter D, Schultz J H
Berufsgenossenschaftliches Unfallkrankenhaus, Hamburg.
Langenbecks Arch Chir Suppl Kongressbd. 1992:297-303.
In delayed treatment of fracture dislocations or luxation of the cervical spine, combined dorsoventral operative treatment is necessary. After anatomical reduction from dorsal, stabilization is performed from ventral using autologous bone grafting and a plate. The injured intervertebral disk is removed to avoid protrusion. At the thoracolumbar spine this technique includes ventral bone grafting with a corticocancellous sandwich block and dorsal transpedicular fixation using an internal fixator system. This simplifies removal of the implant.
