Kohler A, Friedl H P, Käch K, Stocker R, Trentz O
Klinik für Unfallchirurgie, Departement Chirurgie, Universitätsspital Zürich.
Helv Chir Acta. 1994 Apr;60(4):547-50.
Complex unstable cervical spine injuries in polytraumatized patients are stabilized ventro-dorsally in a two-stage procedure. The ventral stabilization is a day-one surgery with the goal to get primary stability for intensive care, early spinal decompression and protection against secondary damage of the spinal cord. The additional dorsal stabilization allows early functional treatment or in case of spinal cord lesions early neurorehabilitation. The combination of severe brain injury and unstable cervical spine injury is especially demanding concerning diagnostic and therapeutic procedures.
多发伤患者的复杂不稳定型颈椎损伤采用两阶段手术进行腹背侧固定。腹侧固定是一期手术，目的是为重症监护提供初步稳定性、早期脊髓减压以及防止脊髓继发性损伤。额外的背侧固定可实现早期功能治疗，或在脊髓损伤时进行早期神经康复。严重脑损伤和不稳定颈椎损伤的组合在诊断和治疗程序方面尤其具有挑战性。
