{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,7,7]],"date-time":"2022-07-07T13:13:33Z","timestamp":1657199613066},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T00:00:00Z","timestamp":1628121600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T00:00:00Z","timestamp":1628121600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf (UKE)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Densfrakturen sind h\u00e4ufige Verletzungen der Halswirbels\u00e4ule und kommen meist in h\u00f6herem Lebensalter vor; hierbei sind diese oft durch Bagatelltraumata bedingt. Bei j\u00fcngeren Patienten werden diese v.\u202fa. im Rahmen von Hochrasanztraumata beobachtet. Klassifiziert werden die Densfrakturen nach Anderson und D\u2019Alonzo. Selten kommt es durch die Fraktur zu einer zervikalen Myelopathie, die lebensbedrohlich sein kann.<\/jats:p><jats:p>In diesem Artikel werden zwei F\u00e4lle von Patienten mit Densfrakturen mit traumatischer Myelopathie dargestellt. Beim ersten Fall handelt es sich um eine Typ-III-Fraktur, beim anderen Fall um eine Typ-II-Fraktur. In beiden F\u00e4llen wurde die vorliegende Instabilit\u00e4t aufgrund der anatomischen Stellung in der initialen Computertomographie (CT) falsch eingesch\u00e4tzt. Im weiteren Verlauf zeigte sich in beiden F\u00e4llen eine erhebliche Instabilit\u00e4t, aufgrund deren es zu fatalen Myelonverletzungen gekommen war.<\/jats:p><jats:p>In diesem \u201ecase report\u201c soll auf das m\u00f6gliche Vorliegen von Myelonverletzungen bei vermeintlich trivialen Densfrakturen bei stattgehabten Hochrasanztraumata aufmerksam gemacht werden. Insbesondere bei reanimationspflichtigen Patienten ohne internistische Ursache muss an eine Myelonkompression gedacht werden. Sollte der Patient bei Vorliegen einer kn\u00f6chernen Verletzung im CT z.\u202fB. durch eine Intubation klinisch nicht ausreichend beurteilbar sein, muss die Indikation zur Magnetresonanztomographie gro\u00dfz\u00fcgig gestellt werden. Nur durch diese wird einem die fr\u00fchzeitige Erkennung einer Myelopathie und die rechtzeitige Therapie erm\u00f6glicht.<\/jats:p>","DOI":"10.1007\/s00113-021-01062-y","type":"journal-article","created":{"date-parts":[[2021,8,5]],"date-time":"2021-08-05T07:02:51Z","timestamp":1628146971000},"page":"574-579","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Densfraktur nach Hochrasanztrauma"],"prefix":"10.1007","volume":"125","author":[{"given":"K.","family":"Hemker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Stangenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Dreimann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"K\u00f6pke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Heuer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Viezens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,8,5]]},"reference":[{"issue":"8","key":"1062_CR1","doi-asserted-by":"publisher","first-page":"1663","DOI":"10.2106\/00004623-197456080-00017","volume":"56","author":"LD Anderson","year":"1974","unstructured":"Anderson\u00a0LD, D\u2019Alonzo\u00a0RT (1974) Fractures of the odontoid process of the axis. 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Er wird f\u00fcr Forschungsprojekte von Medtronic sowie f\u00fcr Beratungst\u00e4tigkeiten von Spineart honoriert. Er bezieht Tantiemen f\u00fcr Spineart. K.\u00a0Hemker, M.\u00a0Stangenberg, L.\u00a0K\u00f6pke, A.\u00a0Heuer und L.\u00a0Viezens geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patienten zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}