Methods (Diseases and Surgical Methods):The CS can suffer damage through injury, acute and chronic inflammatory processes, tumours and degneration. Each of these entities can lead in the short-or long-term to instability or also symptomatic impingement of the spinal canal or neuroforamins depending on the extent and course. Surgery of the CS provides on the one hand stabilising and on the other hand decompressing procedures for the management of these problems. Each of these methods can be applied via a ventral and/or a dorsal approach. While the ventral approaches are oriented along anatomic layers such as the fascia and are thus less traumatic, in open dorsal procedures the neck musculature must be detached from the posterior sections of the spinal bodies. Ventral plates and screws, dorsal screw-rod systems, intervertebral cages and replacement grafts are mainly availble for use in technical stabilisation of the spine. A permanent stabilisation beyond such a technical stabilisation requires, for example, an apposition of bones in order to realise a pewrmanent fusion. Ergebnisse: On the basis of 3 cases the various surgical options in dependence on the disease, its localistaion and extent are illustrated. We describe an extensive spinal constriction due to degenerative changes, a discitis with epidural abscess and a case with kyphotic misalignment with pathological fractures over 4 consecutive spinal bodies.Dieses Dokument wurde zum persönlichen Gebrauch heruntergeladen. Vervielfältigung nur mit Zustimmung des Verlages.
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