| 1. |
- Weber, U, et al.
(författare)
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[Rare pathological alterations of the upper cervical spine requiring surgical treatment]. : Seltene krankhafte Veränderungen der oberen Halswirbelsäule mit operativer Behandlungsindikation.
- 2006
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Ingår i: Der Orthopade. - : Springer Science and Business Media LLC. - 0085-4530 .- 1433-0431. ; 35:3, s. 296-305
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Tidskriftsartikel (refereegranskat)abstract
- Because of its unique anatomy, specific diseases and lesions arise in the upper cervical spine, which differ widely from the rest of the spine. During the last two decades standardised diagnostic and therapeutic algorithms have been defined for most of the craniocervical pathologies often occurring in combination with an underlying disease requiring surgical intervention as well. On the other hand there are some very rare phathological alterations: about 20% of the patients suffering from neurofibromatosis type I develop spinal deformities. These are mostly found in the thoracic and lumbar spine (dystrophic/non-dystrophic type). In rare cases the dystrophic neurofibromatosis type I involves the upper cervical spine leading to bizarre deformities endangering the spinal cord. An aggressive, timely and combined operative therapy is necessary. Patients with Down syndrome should be investigated regularly for affections of the upper cervical spine. Though only in about 1% of all patients with Down syndrome do instabilities require surgical intervention, the upper cervical spine should be screened on a regular basis, since neurological changes due to the pathognomy of the underlying disease often remain undetected for a long time. The operative therapy of the instable os odontoideum in Down syndrome follows the general principles of this pathoanatomical variation. Even though the Klippel-Feil syndrome is generally not linked with neuropathological findings, rare associated deformities of the upper cervical spine should be excluded by proper diagnostic procedures.
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| 2. |
- Carlsson, Åke
(författare)
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Einfach- und doppeltbeschichtete STAR-Sprunggelenkprothesen
- 2006
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Ingår i: Orthopade. - : Springer Science and Business Media LLC. - 1433-0431. ; 35:Apr 21, s. 527-532
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Tidskriftsartikel (refereegranskat)abstract
- An up to 12-year follow-up of 51 single-coated STAR revealed that 15 ankles had undergone fusion. The mean time from primary surgery to the first revision was median 51 months. In a series of 58 double-coated STAR ankles followed up to 5 years only one ankle had to be revised for component loosening. In this series the clinical survival rate was 98% and the radiographic survival rate 94% at 5 years. The radiographic survival rate, with component loosening as endpoint, was significantly better for the last 31 cases in the series of the single-coated prostheses. However, the loosening rate did not differ when these latter 31 cases were compared with the cases operated on with a double-coated prosthesis. One may conclude that improvement of the anchoring surfaces has had a limited influence on the radiographic survival of the STAR ankle. However, from the clinical survivorship figures it is obvious that the learning process continues as the difference in revision rate between the 31 last implanted single-coated and the later on implanted double-coated prostheses approached significance.
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| 3. |
- Heyde, C E, et al.
(författare)
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[Fatal complex fracture of the cervical spine in a patient with ankylosing spondylitis after a fall from a racing bicycle]. : Fatale komplexe HWS-Verletzung bei M. Bechterew nach Sturz mit dem Rennrad.
- 2007
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Ingår i: Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin. - : Georg Thieme Verlag KG. - 0932-0555. ; 21:3, s. 148-51
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Forskningsöversikt (refereegranskat)abstract
- Patients with ankylosing spondylitis are endangered suffering from cervical spine fractures following falls caused by kyphosis, stiffness and osteoporotic bone quality of the spine. Risk sustaining neurological deficits is higher than average. We present a patient with ankylosing spondylitis, who was admitted to our hospital with a complex fracture pattern of the cervical spine after a fall from a racing cycle. In spite of early operative treatment the patient died in the follow up because of severe hypoxic brain damage. We discuss the area of conflict between the recommendation for sport activities in patients with ankylosing spondylitis and the resulting risks for the diseased spine.
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| 4. |
- Heyde, C E, et al.
(författare)
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[Treatment options for problematic thoracic and lumbar osteoporotic fractures]. : Behandlungsmöglichkeiten bei thorakalen und lumbalen osteoporotischen Problemfrakturen.
- 2008
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Ingår i: Der Orthopade. - : Springer Science and Business Media LLC. - 0085-4530 .- 1433-0431. ; 37:4, s. 307-20
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Forskningsöversikt (refereegranskat)abstract
- Most osteoporotic sintering fractures are treated conservatively. However, persistent pain and consecutive spinal deformity may require certain cement-augmenting interventions. These procedures have proven their intermediate-term efficacy in pain reduction, prevention of progressive sintering and improvement of the overall quality of life in the majority of patients. In fractures with relevant spinal stenosis, persisting instability, gross deformity and trauma-associated osteoporotic fractures with or without neurological deficits, the therapeutic options may call for more extensive surgical procedures. In this regard, poor bone quality, age and respective comorbidities of the individual patient must be considered during preoperative planning and management. This article provides an overview of the diverse problem-solving strategies discussed in today's literature. It is generally acknowledged that any decision to perform surgery on an osteoporotic fracture is strongly case-dependent. Treating physicians must therefore master the complete therapeutic spectrum in order to meet this complex orthopedic challenge appropriately.
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| 5. |
- Heyde, Christoph E, et al.
(författare)
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Fatale komplexe HWS-Verletzung bei M. Bechterew nach Sturz mit dem Rennrad
- 2007
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Ingår i: Sportverletzung, Sportschaden. - : Georg Thieme Verlag KG. - 0932-0555 .- 1439-1236. ; 21:3, s. 148-151
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Tidskriftsartikel (refereegranskat)abstract
- Patienten mit ankylosierender Spondylitis sind durch die Kyphose, die Einsteifung und den häufig osteoporotischen Knochen der Wirbelsäule im Rahmen von Stürzen für Verletzungen der Halswirbelsäule besonders prädestiniert. Dabei besteht ein überdurchschnittlich hohes Risiko für neurologische Komplikationen. Vorgestellt wird ein Patient mit M. Bechterew, der bei einem Sturz mit dem Rennrad eine komplexe HWS-Verletzung erlitt. Trotz umgehender operativer Versorgung kam es im weiteren Verlauf zum Tod des Patienten durch einen schweren hypoxischen Hirnschaden. Vor dem Hintergrund dieses fatalen Verlaufes sollen die Empfehlungen zur sportlichen Betätigung bei M. Bechterew und die sich daraus für die veränderte Wirbelsäule ergebenden Gefahren diskutiert werden.
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| 6. |
- Heyde, Christoph-Eckhard, et al.
(författare)
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Kyphoplastie : Indikation und Durchführung
- 2013
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Ingår i: Chirurgische Praxis. - 0009-4846. ; 76:1, s. 63-74
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Tidskriftsartikel (refereegranskat)abstract
- The minimally invasive procedure of kyphoplasty has become an established method of treatment in both osteoporotic compression fractures and malignant osteolytic lesions of the spine. In cautious consideration of the correct indication and technical implementation, kyphoplasty is a safe procedure with low risk of complications. In comparison to conservative treatment regimens, postoperative clinical outcome parameters have shown promising results in pain reduction and the improvement of function and quality of life in both short-term and mid-term evaluations. However, kyphoplasty as a surgical procedure shall always be considered a component within the overall therapeutic concept. Thus, a comprehensive medical attendance and the consistent treatment of the underlying disease are essential to a successful therapeutic outcome.
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| 7. |
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| 8. |
- Heyde, Christoph-Eckhard, et al.
(författare)
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Kyphoplastie: Indikation und praktische Durchführung. [Kyphoplasty. Indication and practical guidelines]
- 2012
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Ingår i: Tägliche Praxis. - : Hans Marseille Vertrieb. - 0494-464X. ; 53:4, s. 799-810
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Tidskriftsartikel (refereegranskat)abstract
- The minimally invasive procedure of kyphoplasty has become an established method of treatment in both osteoporotic compression fractures and malignant osteolytic lesions of the spine. In cautious consideration of the correct indication and technical implementation, kyphoplasty is a safe procedure with low risk of complications. In comparison to conservative treatment regimens, postoperative clinical outcome parameters have shown promising results in pain reduction and the improvement of function and quality of life in both short-term and mid-term evaluations. However, kyphoplasty as a surgical procedure shall always be considered a component within the overall therapeutic concept. Thus, a comprehensive medical attendance and the consistent treatment of the underlying disease are essential to a successful therapeutic outcome.
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| 9. |
- Heyde, Christoph-E., et al.
(författare)
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Ätiologie und Pathogenese der Spondylodiszitis
- 2017
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Ingår i: Die Wirbelsäule. - Stuttgart : Georg Thieme Verlag KG. - 2509-8241 .- 2509-825X. ; 01:04, s. 237-244
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Tidskriftsartikel (refereegranskat)abstract
- Die Häufigkeit der unspezifischen „pyogenen“ und der verschiedenen Formen der spezifischen Spondylodiszitiden nimmt zu. Die Gründe dafür sind vielfältig. Diese Erkrankungen sind auch heute noch mit einer relevanten Morbidität und Mortalität vergesellschaftet. Die Diagnose erfolgt aufgrund der unspezifischen klinischen Manifestation häufig verzögert. Die Kenntnis der Epidemiologie, der Ätiologie und der Pathogenese der verschiedenen Formen der Spondylodiszitis kann die frühzeitige Diagnose und damit den Beginn der Therapie als auch die Therapie an sich erleichtern. In diesem Artikel werden deshalb epidemiologische Daten und wesentliche Aspekte der Ätiologie und Pathogenese der unspezifischen pyogenen Spondylodiszitis sowie der verschiedenen Formen der spezifischen Spondylodiszitis bei Tuberkulose, bei Brucellose und bei Pilzinfektionen diskutiert.
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| 10. |
- Karlsson, Magnus K., et al.
(författare)
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Geschlechtsspezifische unterschiede von leistenschmerzen im fußball
- 2014
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Ingår i: Deutsche Zeitschrift fur Sportmedizin. - : Deutsche Zeitschrift Fur Sportmedizin/German Journal of Sports Medicine. - 0344-5925. ; 65:2, s. 38-42
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Tidskriftsartikel (refereegranskat)abstract
- Problem: Groin pain is common in soccer players but the prevalence has only been examined in uncontrolled studies. Methods: 479 male soccer players aged 25 years (17 - 43) (mean with range), 144 female soccer players aged 23 years (16 - 47), 74 men with no history of soccer training aged 26 years (16 - 42) and 94 women with no history of soccer training aged 23 years (range 15 - 43) answered a mailed questionnaire that included specific questions on groin pain and training history. Data are presented as proportions (%) or as mean with 95 % confidence intervals (95% CI). Results: 55% male soccer players and 26% male controls had experienced groin pain, resulting in an odds ratio (OR) of 3.7 (95% CI 2.1, 6.6). The corresponding proportions were in female soccer players 28 % and in female controls 13 % giving an OR of 2.8 (95% CI 1.4, 5.8). When comparing the genders the higher proportion of males than females that had experienced groin pain resulted in an OR of 2.9 (95% CI 1.9, 4.5) for male versus female soccer players and an OR of 2.6 (95% CI 1.1, 5.3) for male versus female controls. Discussion: Playing soccer and being of the male gender are factors associated with a higher risk of experiencing groin pain.
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