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Surgical management of traumatic spondylolisthesis of the axis = Kirurško zdravljenje travmatske spondilolisteze 2. vratnega vretencaMovrin, Igor ; Čretnik, AndrejNamen: Izbira načina zdravljenja travmatskih spondilolistez drugega vratnega vretenca (TSA) je še vedno polemično vprašanje. Za zdravljenje teh poškodb so bile uporabljene številne neoperativne in ... operativne metode. Poročilo o primeru: Opisan je primer 29 letne ženske, ki je obiskala urgenco po padcu na stopnicah. Tožila je predvsem o hudih bolečinah v vratu. Na nativnih RTG posnetkih in slikah računalniške tomografije (CT) je bil viden obojestranski zlom pediklov drugega vratnega vretenca z večjim premikom telesa drugega vratnega vretenca naprej. V položaju z nekoliko podloženim vratom (hiperekstenzija) ji je bila nastavljena Crutchfield skeletna trakcija s pomočjo štirih kg. Po dveh urah skeletne trakcije je rentgenogram pokazal skoraj anatomski položaj. Še isti dan je bila pri pacientki s sprednjim pristopom opravljena odstranitev medvretenčne ploščice C2/C3 in opravljena zatrditev z avtolognim kostnim transplantatom in kotno stabilno ploščico za vratno hrbtenico. V pooperativnem obdobju pri pacientki, ki je bila brez bolečin v vratu oz. drugih težav, nevroloških izpadov nismo ugotavljali. Rana je celila brez zapletov in pacientka je bila odpuščena domov 8. pooperativni dan z nameščeno Philadelphia ovratnico za obdobje 6-ih tednov. Zaključek: Glede na naše izkušnje je v primeru nestabilnih TSA odstranitev medvretenčne ploščice C2/C3 in sprednja zatrditev tega segmenta možen in varen poseg. V rokah izkušenega kirurga je možna anatomska repozicija, dobra primarna stabilnost, visoka stopnja zatrditve in želeni klinični rezultati.Source: Acta medico-biotechnica : AMB. - ISSN 1855-5640 (Vol. 6, [no.] 2, 2013, str. 53-57)Type of material - article, component part ; adult, seriousPublish date - 2013Language - englishCOBISS.SI-ID - 4906559
Author
Movrin, Igor |
Čretnik, Andrej
Topics
vratna vretenca |
travmatska spondilolisteza |
hangman zlom |
vratna hrbtenica |
kirurško zdravljenje
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Movrin, Igor | 32415 |
Čretnik, Andrej | 21411 |
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