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Article
Open AccessAdverse events after surgery for injuries to the subaxial cervical spine: analysis of incidence and risk factors
To determine the incidence of severe surgical adverse events (sSAE) after surgery of patients with subaxial cervical spine injury (sCS-Fx) and to identify patient, treatment, and injury-related risk factors.
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Article
Open AccessEffect of changing the acquisition trajectory of the 3D C-arm (CBCT) on image quality in spine surgery: experimental study using an artificial bone model
Intraoperative 3D imaging using cone-beam CT (CBCT) provides improved assessment of implant position and reduction in spine surgery, is used for navigated surgical techniques, and therefore leads to improved q...
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Article
Open AccessOdontoid fracture in geriatric patients — analysis of complications and outcome following conservative treatment vs. ventral and dorsal surgery
Different treatment options are discussed for geriatric odontoid fracture. The aim of this study was to compare the treatment options for geriatric odontoid fractures.
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Article
Open AccessRadiation exposure for pedicle screw placement with three different navigation system and imaging combinations in a sawbone model
Studies have shown that pedicle screw placement using navigation can potentially reduce radiation exposure of surgical personnel compared to conventional methods. Spinal navigation is based on an interaction o...
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Article
Computergestützte Verfahren in der Orthopädie und Unfallchirurgie – wo stehen wir?
Computergestützte Verfahren werden in der Orthopädie und Unfallchirurgie zunehmend relevanter. Die Datenlage zu diesen Systemen hat sich in den letzten Jahren verbessert, hat aber immer noch eine geringe Evide...
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Article
Open AccessAnalysis of the cost-efficiency of the vascular impulse technology (VIT) in the perioperative management of complex ankle fractures: results of a prospective randomised controlled trial
Posttraumatic swelling causes a delay in surgery, a prolonged hospital stay and a higher risk of complications. Thus, soft tissue conditioning following complex ankle fractures is of central importance in thei...
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Article
Open AccessVascular impulse technology versus elevation for reducing the swelling of upper and lower extremity joint fractures
Soft-tissue conditioning due to posttraumatic oedema after complicated joint fractures is a central therapeutic aspect both pre- and postoperatively. On average, 6–10 days pass until the patient is suitable fo...
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Article
Open AccessIs the postoperative pedicle screw position after dorsal instrumentation with or without intraoperative cone beam CT imaging worse in patients with obesity than in normal-weight patients?
Intraoperative cone beam CT (CBCT) imaging in dorsal instrumentation facilitates pedicle screw positioning. However, in patients with obesity, the benefit may be reduced due to artifacts that affect image qual...
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Article
Open AccessDetection of fibular rotational changes in cone beam CT: experimental study in a specimen model
In syndesmotic injuries, incorrect reduction leads to early arthrosis of the ankle joint. Being able to analyze the reduction result is therefore crucial for obtaining an anatomical reduction. Several studies ...
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Article
Open AccessComparison of three imaging and navigation systems regarding accuracy of pedicle screw placement in a sawbone model
3D-navigated pedicle screw placement is increasingly performed as the accuracy has been shown to be considerably higher compared to fluoroscopy-guidance. While different imaging and navigation devices can be u...
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Article
Development and first application testing of a new protocol for CT-based stability evaluation of the injured upper cervical spine
For trauma surgeons, the evaluation of the stability of the upper cervical spine may be demanding. The aim of this study was to develop a protocol for decision-making on upper cervical spine stability in traum...
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Article
Die Lagerung des Kopfes während der Behandlung im Schockraum – eine explorative Analyse über die Immobilisation der Halswirbelsäule
Häufig erfolgt bei Traumapatienten in der präklinischen Notfallmedizin die Immobilisation der Halswirbelsäule mit einer Zervikalstütze. Im Rahmen der Akuttherapie im Krankenhaus gibt es allerdings unterschiedl...
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Article
Open AccessAnalysis of remaining motion using one innovative upper airway opening cervical collar and two traditional cervical collars
The aim of this study was to compare the remaining motion of an immobilized cervical spine using an innovative cervical collar as well as two traditional cervical collars. The study was performed on eight fres...
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Article
Comparison of pedicle screw misplacement following open vs. percutaneous dorsal instrumentation after traumatic spinal fracture
Dorsal stabilization is a frequently used procedure in the treatment of acute traumatic vertebral body fractures. Besides the traditional open surgical procedure, the percutaneous positioning of pedicle screws...
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Article
Open AccessTraining to identify red flags in the acute care of trauma: who are the patients at risk for early death despite a relatively good prognosis? An analysis from the TraumaRegister DGU®
In the acute care of trauma, some patients with a low estimated risk of death die suddenly and unexpectedly. In this study, we aim to identify predictors for early death within 24 h following hospital admissio...
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Article
Injuries of the upper cervical spine—how can instability be identified?
The diagnosis of instability of the injured upper cervical spine remains controversial, due to its complicated anatomical configuration and biomechanical property. Since identifying unstable injuries of the up...
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Article
Entwicklung eines neuen Protokolls zur präklinischen Immobilisation der Wirbelsäule bei Kindern und erste Anwendungsuntersuchung
Um Sekundärschäden zu vermeiden, stellt die Immobilisation der potenziell verletzten Wirbelsäule eine Standardmaßnahme im präklinischen Traumamanagement dar. Immobilisationsprotokolle sollen dem notfallmedizin...
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Article
Open AccessMonteggia-like lesions in adults treated with radial head arthroplasty—mid-term follow-up of 27 cases
The aim of the study was to analyze the functional and radiological outcome of Monteggia-like lesions in adults with unreconstructible fracture of the radial head and treatment with radial head arthroplasty.
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Article
Computer-assisted intra-operative verification of surgical outcome for the treatment of syndesmotic injuries through contralateral side comparison
Fracture reduction and fixation of syndesmotic injuries is a common procedure in trauma surgery. An intra-operative evaluation of the surgical outcome is challenging due to high inter-individual anatomical var...
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Article
Minimally invasive reduction and percutaneous posterior fixation of one-level traumatic thoraco-lumbar and lumbar spine fractures
Although open procedures are the gold standard, the alternative approach of minimal invasive reduction using percutaneous screws for thoracic and lumbar spine fractures is under discussion. Aim of this study w...
