Summary
Radiological criteria, laid down to detect instability of the cervical spine after cadaveric biomechanical studies, were applied to 52 cases of cervical spine injury. Only one case of instability was detected, and late neurological signs resolved after posterior cervical fusion. Three other cases which fulfilled the radiological criteria of instability clinically were symptom free. It is concluded that these criteria alone cannot establish the indications for surgical intervention.
Zusammenfassung
Nach radiologischen Kriterien für die Erkennung von Instabilitäten an der Halswirbelsäule, die bei biomechanischen Untersuchungen an der Leiche gewonnen wurden, sind 52 Patienten nach einer Verletzung der Halswirbelsäule untersucht worden. Nur in einem Fall wurde eine Instabilität entdeckt, und neurologische Spätsymptome verschwanden nach einer hinteren Fusion. Drei andere Fälle, die den radiologischen Kriterien der Instabilität entsprachen, hatten keine klinischen Symptome. Daraus wird gefolgert, daß die radiologischen Kriterien allein nicht genügen, um die Indikation zum operativen Eingriff zu stellen.
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Alpar, E.K., Karpinski, M. Late stability of the cervical spine. Arch. Orth. Traum. Surg. 104, 224–226 (1985). https://doi.org/10.1007/BF00450214
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DOI: https://doi.org/10.1007/BF00450214