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  • 1
    Electronic Resource
    Electronic Resource
    Operative treatment of spondylodiscitis —what is the most effective approach? (1998)
    Springer
    Neurosurgical review 21 (1998), S. 217-225 
    Details
    ISSN: 1437-2320
    Keywords: Anterior instrumentation ; CDH ; CDI ; Operative therapy ; Spondylodiscitis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In a study the results recorded in 34 surgically treated patients with specific or unspecific spondylodiscitis after dorsoventral one-stage instrumentation with CDI and anterior grafting (group 1) were compared with those obtained in a group of 38 patients treated with anterior CDH instrumentation in combination with anterior grafting (group 2). The mean observation periods were 48.4 (19–82) months in group 1 and 29.0 (8–54) months in group 2. In both groups the infection healed after fusion without a secondary operation. In group 1 the mean values for blood loss, operating time, length of hospital stay and fusion length (3.5 segments) were significant higher than those in group 2; in particular, the fusion length was shorter (1.3 segments) in group 2. Only 8 patients in group 1 were treated with postoperative external support. The mean preoperative segmental angle of 18.2° (group 1) was corrected by a mean of 11.9°, and the reposition loss during follow-up amounted to an average of 2.7°. Group 2 showed a mean preoperative segmental deformity angle of 13.4°, which was corrected by 11.6°, and the loss of reposition was 2.9° on average. Even in florid spondylodiscitis a short-range anterior fusion of the affected spinal segment can be performed with a primarystable implant, avoiding a second operation without an increased risk of infection-related dislocation. In the authors' own experience a secondary dorsal operation can be avoided except in the case segment L-5/S-1, the fast mobilization without external support allows a up-to-date treatment in this severe spinal disease.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01105775
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  • 2
    Electronic Resource
    Electronic Resource
    Okkulte Fraktur einer Achillessehnenossifikation ohne begleitende Sehnenruptur (2000)
    Springer
    Der Unfallchirurg 103 (2000), S. 248-250 
    Details
    ISSN: 1433-044X
    Keywords: Schlüsselwörter Achillessehne ; Ossifikation ; Okkulte Fraktur ; Key words Achilles tendon ; Ossification ; Occult fracture
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Ossification of the Achilles tendon is the result of a traumatic, hypoxic injury of the tendon. The usually asymptomatic ossification has a clinical importance only in case of a new trauma. We report about a patient with an isolated fracture of the ossification without an accompanying rupture of the Achilles tendon. Because of the radiologically “occult” fracture the diagnosis could only be verified by MRI. With a conservative treatment without resection of the ossification we could reach painless recovery.
    Notes: Zusammenfassung Ossifikationen der Achillessehne sind u.a. Folge einer traumatischen, hypoxischen Sehnengewebeschädigung. Eine klinische Bedeutung erlangen die, primär asymptomatischen, Achillessehnenverknöcherungen erst im Rahmen einer erneuten Traumatisierung. In dem hier beschriebenen Fall ist es dabei zu einer isolierten Fraktur der Ossifikation ohne begleitende Sehnenruptur gekommen. Aufgrund der radiologisch “okkulten” Fraktur konnte die Diagnose nur kernspintomographisch gesichert werden. Durch eine konservative Behandlung ohne Resektion der Verknöcherung wurde eine beschwerdefreie Ausheilung erzielt.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001130050530
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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