Kühne J H, Stürz H, Refior H J
Orthopädische Klinik im Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Z Orthop Ihre Grenzgeb. 1988 Sep-Oct;126(5):547-54. doi: 10.1055/s-2008-1044482.
12 patients suffering from rheumatic or psoriatic instabilities of the upper cervical spine underwent operations by a dorsal approach from September '83 until October '86. They were examined 3 months to 3 years after operation. Different operative procedures were chosen depending upon the extent of the instabilities. Differential indications are discussed on the basis of clinical and x-ray features. Results were good in 10 patients, 1 was satisfactory, 1 patient died one week postoperatively. Rheumatoid and psoriatic instabilities of the upper cervical spine should receive early operative treatment while extent and risks of operative procedures are low.
1983年9月至1986年10月期间，12例患有上颈椎风湿性或银屑病性不稳定的患者接受了后路手术。术后3个月至3年对他们进行了检查。根据不稳定的程度选择了不同的手术方法。基于临床和X线特征讨论了不同的适应证。10例患者结果良好，1例满意，1例患者术后1周死亡。当上颈椎类风湿性和银屑病性不稳定的手术范围和风险较低时，应尽早进行手术治疗。
