"76" . "CZ - \u010Cesk\u00E1 republika" . "331245" . . "[4297D8E90133]" . . . . . . "Occipitocervical fixation and spondylodesis is indicated in various cases of occipitocervical instability. The aim of this retrospective study was to evaluate the results of occipitocervical fixation at our institutions. Between 1997 and 2007, a total of 57 patients underwent occipitocervical fixation (OC) there were 25 men and 32 women, from four to 77 years of age, with an average of 58.7 years. The patients were allocated to two groups according to the method of OC fixation used: tying wires or cables (group 1) screw-rod or screw-plate systems (group 2). Indications for OC fixation included trauma in 15, rheumatoid arthritis (RA) in 28, destruction due to psoriasis in one, tumour in eight, and congenital anomalies of the cervico-cranial junction in five patients. In five patients with tumour, OC fixation was completed with a transoral or transmandibular procedure. The C0-T 1 or C0-T 2 segments were fixed in 22 patients, C0-C2 segments in 14, C0-C3 segments in six, C0-C4 segments in two, C0-C5 segme"@en . "Okcipitocervik\u00E1ln\u00ED (OC) fixace a spondylod\u00E9za je indikov\u00E1na v r\u016Fzn\u00FDch p\u0159\u00EDpadech okcipitocervik\u00E1ln\u00ED instability. OC instability vznikaj\u00ED po traumatech, z\u00E1n\u011Btliv\u00FDch onemocn\u011Bn\u00EDch (RA), infektech, tumorech, iatrogenn\u00ED dekompresi a p\u0159i kongenit\u00E1ln\u00EDch anom\u00E1li\u00EDch. OC instabilita se m\u016F\u017Ee manifestovat rozd\u00EDln\u00FDmi p\u0159\u00EDznaky, jako jsou bolesti hlavy a krku, dysfunkce hlavov\u00FDch nerv\u016F, pentaplegie a\u017E po okam\u017Eitou smrt pacienta. Stabilizace a f\u00FAze m\u00E1 zabr\u00E1nit vzniku, event. zlep\u0161it tyto p\u0159\u00EDznaky a b\u00FDt prevenc\u00ED mo\u017En\u00FDch komplikac\u00ED. C\u00EDlem retrospektivn\u00ED studie je zhodnocen\u00ED 57 OC fixac\u00ED proveden\u00FDch na na\u0161ich pracovi\u0161t\u00EDch. V obdob\u00ED 1997-2007 jsme provedli okcipitocervik\u00E1ln\u00ED fixaci u 57 pacient\u016F. Jednalo se o 25 mu\u017E\u016F a 32 \u017Een ve v\u011Bku od 4 do 77 let s pr\u016Fm\u011Brem 58,7 roku. Cel\u00FD soubor jsme rozd\u011Blili na 2 skupiny podle typu OC fixace: 1. fixace v\u00E1zac\u00EDmi dr\u00E1ty nebo kabely, 2. ukotven\u00ED dlahy nebo pod\u00E9ln\u00FDch ty\u010D\u00ED \u0161rouby. Rigidn\u00ED OC fixace je velmi efektivn\u00ED metoda pro l\u00E9\u010Dbu instabilit kraniocervik\u00E1ln\u00EDho p\u0159echodu. Sou\u010Dasn\u00E9 modern\u00ED" . "Acta Chirurgiae Orthopaedicae et Traumatologiae \u010Cechoslovaca" . . "V" . "000273238000005" . "RIV/00216208:11120/09:00003088" . "8"^^ . "Okcipitocervik\u00E1ln\u00ED (OC) fixace a spondylod\u00E9za je indikov\u00E1na v r\u016Fzn\u00FDch p\u0159\u00EDpadech okcipitocervik\u00E1ln\u00ED instability. OC instability vznikaj\u00ED po traumatech, z\u00E1n\u011Btliv\u00FDch onemocn\u011Bn\u00EDch (RA), infektech, tumorech, iatrogenn\u00ED dekompresi a p\u0159i kongenit\u00E1ln\u00EDch anom\u00E1li\u00EDch. OC instabilita se m\u016F\u017Ee manifestovat rozd\u00EDln\u00FDmi p\u0159\u00EDznaky, jako jsou bolesti hlavy a krku, dysfunkce hlavov\u00FDch nerv\u016F, pentaplegie a\u017E po okam\u017Eitou smrt pacienta. Stabilizace a f\u00FAze m\u00E1 zabr\u00E1nit vzniku, event. zlep\u0161it tyto p\u0159\u00EDznaky a b\u00FDt prevenc\u00ED mo\u017En\u00FDch komplikac\u00ED. C\u00EDlem retrospektivn\u00ED studie je zhodnocen\u00ED 57 OC fixac\u00ED proveden\u00FDch na na\u0161ich pracovi\u0161t\u00EDch. V obdob\u00ED 1997-2007 jsme provedli okcipitocervik\u00E1ln\u00ED fixaci u 57 pacient\u016F. Jednalo se o 25 mu\u017E\u016F a 32 \u017Een ve v\u011Bku od 4 do 77 let s pr\u016Fm\u011Brem 58,7 roku. Cel\u00FD soubor jsme rozd\u011Blili na 2 skupiny podle typu OC fixace: 1. fixace v\u00E1zac\u00EDmi dr\u00E1ty nebo kabely, 2. ukotven\u00ED dlahy nebo pod\u00E9ln\u00FDch ty\u010D\u00ED \u0161rouby. Rigidn\u00ED OC fixace je velmi efektivn\u00ED metoda pro l\u00E9\u010Dbu instabilit kraniocervik\u00E1ln\u00EDho p\u0159echodu. Sou\u010Dasn\u00E9 modern\u00ED"@cs . "Okcipitocervik\u00E1ln\u00ED fixace: dlouhodob\u00E9 sledov\u00E1n\u00ED 57 pacient\u016F"@cs . "RIV/00216208:11120/09:00003088!RIV12-MSM-11120___" . "Occipitocervical Fixation: Long-Term Follow-up in Fifty-Seven Patients"@en . . . . . "Okcipitocervik\u00E1ln\u00ED fixace: dlouhodob\u00E9 sledov\u00E1n\u00ED 57 pacient\u016F" . "Kl\u00E9zl, Zden\u011Bk" . "0001-5415" . "1"^^ . "Okcipitocervik\u00E1ln\u00ED fixace: dlouhodob\u00E9 sledov\u00E1n\u00ED 57 pacient\u016F"@cs . "11120" . "Okcipitocervik\u00E1ln\u00ED fixace: dlouhodob\u00E9 sledov\u00E1n\u00ED 57 pacient\u016F" . "occipitocervical fusion; occipitocervical fixation; occipitocervical instability"@en . "Occipitocervical Fixation: Long-Term Follow-up in Fifty-Seven Patients"@en . "6" . . . "\u0160tul\u00EDk, Jan" . "5"^^ . .