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At the Rehabilitation Institute in Konstancin there were 80 patients treated due to the fracture of the dens epistrophei within the years 1970-1986. In all the cases the fracture was within the base of the dens. More than 50% of the patients were over 50 years of age at the time of injury. On admission about 34% of patients had neurological disturbances of various degree manifested by paresis of the extremities. The leading cause of spine injury were falls from a height (60%), particularly from a horse-cart. In 55% of cases the injury was through extension mechanism. Surgical treatment was applied in 35 cases (29 cases of posterior fusion of CI-C1I by bone grafting and wire loop, 6 cases of axis dens and vertebral body CI1 fixation by AO screw, by Böhler method). The remaining 45 cases were conservatively treated. The paper presents the radiological results of conservative and surgical treatment as well as an analysis of the neurological recovery.
M Krasuski, and
E Kiwerski
January 1974,
Acta orthopaedica Scandinavica,
M Krasuski, and
E Kiwerski
December 1950,
Giornale italiano di chirurgia,
M Krasuski, and
E Kiwerski
January 1958,
Chirurgia narzadow ruchu i ortopedia polska,
M Krasuski, and
E Kiwerski
January 1958,
Langenbecks Archiv fur klinische Chirurgie ... vereinigt mit Deutsche Zeitschrift fur Chirurgie,
M Krasuski, and
E Kiwerski
August 1976,
The Australian and New Zealand journal of surgery,
M Krasuski, and
E Kiwerski
June 1903,
The Indian medical gazette,
M Krasuski, and
E Kiwerski
January 1955,
Archiv fur orthopadische und Unfall-Chirurgie,
M Krasuski, and
E Kiwerski
October 1977,
Ortopediia travmatologiia i protezirovanie,
