Pitzen T, Caspar W, Steudel W I, Barbier D
Neurochirurgische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar.
Aktuelle Traumatol. 1994 Apr;24(2):56-9.
The problems of surgical therapy in seven patients aged over 70 years are discussed. Clinical and radiological findings as well as operative treatment (anterior transaxial screw osteosynthesis or posterior atlanto-axial arthrodesis) are analysed in detail. Five out of 7 patients treated in this way could be early mobilised. Two patients died on multiorgan failure after an initial uneventful postoperative course (28.6% mortality rate). A stable osteosynthesis was obtained in all cases; a complete bony fusion as could be radiologically demonstrated, occurred in four out of the five survivors. We feel that despite this relatively high mortality rate surgical treatment provides better recovery chances and a higher quality of life to such patients.
讨论了7例70岁以上患者的手术治疗问题。详细分析了临床和放射学检查结果以及手术治疗（前路经轴螺钉内固定或后路寰枢关节融合术）。采用这种方法治疗的7例患者中有5例能够早期活动。2例患者在术后最初情况平稳后死于多器官功能衰竭（死亡率为28.6%）。所有病例均实现了稳定的内固定；5名幸存者中有4名经放射学证实实现了完全骨融合。我们认为，尽管死亡率相对较高，但手术治疗为这类患者提供了更好的康复机会和更高的生活质量。
