Zeilinger F S, Meier U, Klötzer R
Klinik für Neurochirurgie, Unfallkrankenhaus Berlin-Marzahn mit Berufsgenossenschaftlicher Unfallklinik.
Unfallchirurgie. 1998 Feb;24(1):3-9.
Between 1980 until 1996 we operated altogether 327 patients because of a discoligamentous or osseous injury of the lower cervical spine. In a retrospective examination we evaluated the type of the injuries, the mechanism of the accidents, the neurological status on admission and the postoperative result. With regard to the long-term results we re-investigated 170 patients who have been operated on in our Department of Neurosurgery. In none of the patients we could find a neurological deterioration after the operation. The prognosis for patients with an incomplete and complete transversal syndrome is worse concerning a regression of the neurological deficit. The ventral spondylodesis in the technique according to Cloward-Crock, Robinson and Smith and Bailey-Badgley with ventral plate fixation provided the best results and we recommend these techniques for injuries of the lower cervical spine.
1980年至1996年间，我们共为327例因下颈椎韧带或骨质损伤的患者进行了手术。在一项回顾性检查中，我们评估了损伤类型、事故机制、入院时的神经状态以及术后结果。关于长期结果，我们对在我们神经外科接受手术的170例患者进行了再次调查。在所有患者中，我们均未发现术后神经功能恶化。对于不完全性和完全性横贯性综合征患者，神经功能缺损恢复方面的预后较差。采用Cloward-Crock、Robinson和Smith以及Bailey-Badgley技术并进行前路钢板固定的前路椎体融合术效果最佳，我们推荐这些技术用于下颈椎损伤。
