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[Fracturae axis seu epistrophei - Surgical Treatment Part I : Dens axis seu epistrophei.].

The authors present their experience with surgical treatment of fractures of the dens axis. In a group of surgical stabilizations after 295 injuries of the spine fractures of the dens axis account for 6.1 %, in the cervical segment 18.4 %. The mean age of the patients was 54.8 years, all were free from neurological deficit. The authors discuss classifications of fractures of the dens and indications for surgical treatment. They present all methods known at present which are used for surgical stabilization as well as their own experience with their use. With regard to favourable functional results in their own material, without any complications during the peroperative period, they consider surgical stabilization a safe method of choice and the still most widespread method with halo apparatures rather inadequate. Key words: dens axis, surgical treatment of fractures of the dens.

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