Transoral implant removal after ventral C2/C3 spondylodesis with pharyngovertebral fistula

被引:3
|
作者
Feeser, R [1 ]
Wolter, D [1 ]
Biermann, E [1 ]
机构
[1] Berufsgenossenschaftliches Unfallkrankenhaus Hamb, Abt Unfall & Wiederherstellungschirurg, D-21033 Hamburg, Germany
来源
UNFALLCHIRURG | 1997年 / 100卷 / 12期
关键词
hangman fracture; spondylodesis; instability; pharyngovertebral fistula;
D O I
10.1007/s001130050222
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 26-year-old man sustained a C2 are fracture. Ventral spondylodesis using an H-plate was performed. The patient developed a pharyngovertebral fistula which remained undetected for 1 year. Spontaneous fusion of C3/C4 and osteolysis of the cortical block occurred. The fistula was demonstrated intra operatively and the implant was transorally removed. No further problems occurred after this unusual method of treatment. The anatomy of the cervical spine, special problems of intensive care patients and the use of proper instrumentation are discussed.
引用
收藏
页码:984 / 989
页数:6
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