Seiler H, Hackstein W, Graf L P
Klinik für Unfall-, Hand- und Plastische Chirurgie, Zentralkrankenhaus Reinkenheide Bremerhaven.
Unfallchirurg. 1993 Aug;96(8):410-5.
Over 2 years, 16 patients with a total of 23 lesions of the craniovertebral junction and the upper cervical spine were treated. Clinically important aspects of diagnosis and classification are outlined. The conditions treated included fractures of the occipital condyle and atlas, dens-axis, and hanged-man fractures. Standard operative treatment, which has to be modified in cases of combined injuries, is presented. Surgery is frequently indicated, especially in elderly and polytraumatized patients. In addition, 2 cases of atlanto-occipital dislocation are described: 1 of these patients survived for 5 days after early atlanto-occipital fusion.
在两年多的时间里，对16例共有23处颅颈交界区和上颈椎病变的患者进行了治疗。概述了诊断和分类的临床重要方面。所治疗的病症包括枕髁、寰椎、齿状突和绞刑者骨折。介绍了标准手术治疗方法，在合并损伤的情况下必须进行调整。手术治疗经常是必要的，尤其是在老年和多发伤患者中。此外，还描述了2例寰枕关节脱位：其中1例患者在早期寰枕融合术后存活了5天。
