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06.02.2018 | Pseudarthrosen | Leitthema

Pseudarthrose und Konstruktversagen nach lumbaler Pedikelsubtraktionsosteotomie

Einflüsse von Biomechanik, Operationstechnik, Biologie und Vermeidungsstrategien

verfasst von: PD Dr. C. Birkenmaier

Erschienen in: Die Orthopädie | Ausgabe 4/2018

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Zusammenfassung

Multiple Faktoren können die Ausbildung einer Pseudarthrose und ein Konstruktversagen nach lumbaler Pedikelsubtraktionsosteotomie (PSO) begünstigen und in den meisten Fällen sind mehrere Faktoren gemeinsam ausschlaggebend. Diese Arbeit versucht, die chirurgischen, biomechanischen und biologischen Aspekte zu erklären, die verstanden werden sollten, um das Risiko für Pseudarthrosen und Konstruktversagen zu minimieren. Es werden technische Varianten der PSO und chirurgisch-technische Aspekte dargestellt sowie die Wahl von Metalllegierungen und Multistabkonstrukte erklärt. Biologische Gründe für eine Pseudarthrose und Vermeidungsstrategien werden ebenso diskutiert wie der mögliche Einfluss von Low-grade-Infekten auf die Pseudarthroseentstehung. Zudem wird auf indikatorische Aspekte eingegangen und auf die mögliche Alternative, Lordosen über multiple ALIF zu rekonstruieren, um so unter Umständen eine PSO zu vermeiden.

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Titel: Pseudarthrose und Konstruktversagen nach lumbaler Pedikelsubtraktionsosteotomie
Einflüsse von Biomechanik, Operationstechnik, Biologie und Vermeidungsstrategien
verfasst von: PD Dr. C. Birkenmaier
Publikationsdatum: 06.02.2018
Verlag: Springer Medizin
Schlagwörter: Pseudarthrosen
Akne
Erschienen in: Die Orthopädie / Ausgabe 4/2018
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI: https://doi.org/10.1007/s00132-018-3537-4

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Springer Medizin

Pseudarthrose und Konstruktversagen nach lumbaler Pedikelsubtraktionsosteotomie

Einflüsse von Biomechanik, Operationstechnik, Biologie und Vermeidungsstrategien

Zusammenfassung

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