Ayhan ATTAR, Şükrü ÇAĞLAR, Nihat EGEMEN, Ertekin ARASIL, Cüneyt TEMİZ, Haluk DEDA, Ahmet ERDOĞAN, Gökalp SİLAV

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Odontoid kemiğin travmatik kırıkları ve tedavi prensipleri

Bu çalışmada Ankara İniversitesi Tıp Fakültesi Nöroşirurji Anabilim Dalında'1972- 1995 yılları ara¬sında odontoid fraktörü nedeniyle tedavi gören 36 olgu incelenmiştir. Tip 2 odontoid kırığı olan 24 ol¬gu durumları operasyon için uygun hale gelince öpere edilerek posterior füzyon yapılmış ve postope¬ratif dönemde nörolojik durumlarında belirgin dü¬zelme gözlenmiştir. Tip 3 kırığı olan 6 olgu ve tip 2 kırığı olup anterior dislokasyonu 6 mm. altında olan 6 olguda ise ekstemal servikal spine stabilizasyon yöntemleri ile stabilizasyon sağlanmıştır.

Odontoid fractures

In this report, 36 cases of odontoid fractures have been reported. 24 of them , who had type 2 odontoid fractures have been operated via posterior cervical approach and their preoperative neurologi¬cal states, operative criteria and outcome in the pos¬toperative period have been reviewed. 6 cases with type 3 odontoid fractures and 6 cases who had type 2 fractures with anterior dislocation below 6 mm. had been treated non surgically. The other cases we¬re operated as soon as their general condition beca¬me suitable for an operation under general anesthe¬sia. Posterior fusion was performed and in the pos¬toperative period significant improvement in their neurologic status was observed.
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Ankara Üniversitesi Tıp Fakültesi Mecmuası-Cover
  • Başlangıç: 1947
  • Yayıncı: Erkan Mor
Arşiv
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