Primary stabilization of spinal fractures with and without neurologic deficit

This paper reports the results of our methods, describes the different approaches and shows the different techniques of implantation. To obtain stable fixation of the fracture we use three different types of implants, depending on the localisation. From C1 to C3, we use the new type of the Dens fixation plate. From C3 to Th1, we use the so-called doublewhole plate. Both plate types are fixed with so-called TKFS-screws. In the thoracic and lumbar region we have used up to now the Zielke USIS-system. To obtain a primary stable three-dimensional construction a dorsoventral procedure in one session is necessary.