Full Text Journal Articles by
Author Ulrich Spiegl

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Management of pertrochanteric fractures in patients over 90 years: In-hospital mortality rate, complications and associated risk factors.

Mohamed Ghanem, Jonas Garthmann, Anja Redecker, Annette Brigitte Ahrberg-Spiegl, Johannes Karl Maria Fakler, Ulrich Josef Albert Spiegl,

<h4>Purpose</h4>This study aims primarily to investigate the outcome following surgical management of pertrochanteric fractures of patients over 90 years compared to the outcome of a control group below 90 years under special consideration of the timing of surgery. The second aim was to analyze potential risk factors for early deaths in very ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2021, 22(1):799]

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Osteoporotic Fractures of the Thoracic and Lumbar Vertebra: Diagnosis and Conservative Treatment-A Systematic Review.

Ulrich Spiegl, Hartmut Bork, Sebastian Grüninger, Uwe Maus, Georg Osterhoff, Max J Scheyerer, Philipp Pieroh, Jörg Schnoor, Christoph-Eckhard Heyde, Klaus J Schnake,

<h4>Background</h4>The prevalence of osteoporotic vertebral body fractures in Europe is 18-26%. Although most of these injuries can be treated conservatively, the underlying concepts have not been defined clearly or uniformly. In this article, we present the current state of the evidence on the diagnosis and conservative treatment of osteoporotic fractures ... Read more >>

Dtsch Arztebl Int (Deutsches Arzteblatt international)
[2021, (Forthcoming):]

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Does the orientation of syndesmosis fixative device affect the immediate reduction of the distal tibiofibular joint?

Robert Hennings, Ulrich J Spiegl, Carolin Fuchs, Pierre Hepp, Johannes K M Fakler, Annette B Ahrberg,

<h4>Introduction</h4>Incongruent stabilization of the distal tibiofibular joint (syndesmosis) results in poorer long-term outcome in malleolar fractures. The aim was to analyze whether the orientation of the syndesmotic stabilization would affect the immediate reduction imaged in computed tomography (CT).<h4>Materials and methods</h4>The syndesmotic congruity in 114 ankle fractures with stabilization of the ... Read more >>

Arch Orthop Trauma Surg (Archives of orthopaedic and trauma surgery)
[2021, :]

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Current Minimally Invasive Surgical Concepts for Sacral Insufficiency Fractures.

Ulrich Josef Albert Spiegl, Klaus J Schnake, Bernhard Ullrich, Max J Scheyerer, Georg Osterhoff, Holger Siekmann,

An increasing incidence of sacral insufficiency fractures in geriatric patients has been documented, representing a major challenge to our healthcare system. Determining the accurate diagnosis requires the use of sectional imaging, including computed tomography and magnetic resonance imaging. Initially, non-surgical treatment is indicated for the majority of patients. If non-surgical ... Read more >>

Z Orthop Unfall (Zeitschrift fur Orthopadie und Unfallchirurgie)
[2021, :]

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Postoperative Spinal Implant Infections (PSII)-A Systematic Review: What Do We Know So Far and What is Critical About It?

Daniel Karczewski, Klaus J Schnake, Georg Osterhoff, Ulrich Spiegl, Max J Scheyerer, Bernhard Ullrich, Matthias Pumberger,

<h4>Study design</h4>Systematic review.<h4>Objectives</h4>Postoperative spinal implant infections (PSII) are an increasing challenge in the daily clinical routine. This review summarizes existing knowledge in the field of PSII, including definitions, epidemiology, classifications, risk factors, pathogenesis, symptoms, diagnosis, and treatment.<h4>Methods</h4>A systematic review was performed using a structured PubMed analysis, based on the PRISMA ... Read more >>

Global Spine J (Global spine journal)
[2021, :21925682211024198]

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Risk Factors for Failure in Conservatively Treated Osteoporotic Vertebral Fractures: A Systematic Review.

Max J Scheyerer, Ulrich J A Spiegl, Sebastian Grueninger, Frank Hartmann, Sebastian Katscher, Georg Osterhoff, Mario Perl, Matthias Pumberger, Gregor Schmeiser, Bernhard W Ullrich, Klaus J Schnake,

<h4>Study design</h4>Systematic review.<h4>Objectives</h4>Osteoporosis is one of the most common diseases of the elderly, whereby vertebral body fractures are in many cases the first manifestation. Even today, the consequences for patients are underestimated. Therefore, early identification of therapy failures is essential. In this context, the aim of the present systematic review ... Read more >>

Global Spine J (Global spine journal)
[2021, :2192568220982279]

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Free Flap Reconstruction of the Extremities in Patients Who are ≥65 Years Old: A Single-Center Retrospective 1-to-1 Matched Analysis.

Nick Spindler, Philipp Pieroh, Ulrich Spiegl, Sergey Arakelyan, Johannes Karl Maria Fakler, Christoph-Eckhard Heyde, Stefan Langer,

<h4>Purpose</h4>Demographic changes are leading to population aging, and free flap reconstructions for various indications are expected to become increasingly common among older patients. Therefore, this study evaluated free flap reconstruction of the extremities in older patients and compared the outcomes to those from younger patients who underwent similar procedures during ... Read more >>

Clin Interv Aging (Clinical interventions in aging)
[2021, 16:497-503]

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Concomitant injuries in patients with thoracic vertebral body fractures-a systematic literature review.

Ulrich J Spiegl, Georg Osterhoff, Philipp Bula, Frank Hartmann, Max J Scheyerer, Klaus J Schnake, Bernhard W Ullrich,

<h4>Purpose</h4>The aim of this study was to give a systematic overview over the rate and location of concomitant injuries, the probability of suffering from neurological deficits, and to give evidence of the timing of surgery in severely injured patients with unstable thoracic vertebral body fractures.<h4>Methods</h4>This review is based on articles ... Read more >>

Arch Orthop Trauma Surg (Archives of orthopaedic and trauma surgery)
[2021, :]

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Midterm Outcome after Posterior Stabilization of Unstable Midthoracic Spine Fractures in the Elderly

Ulrich Spiegl, Pia-Luise Hölbing, Jan-Sven Jarvers, Nicolas von der Höh, Philipp Pieroh, Georg Osterhoff, Christoph-Eckhard Heyde,

<h4>Background: </h4> The evidence for the treatment of midthoracic fractures in elderly patients is weak. The aim of this study was to evaluate midterm results after posterior stabilization of unstable midthoracic fractures in the elderly. <h4>Methods: </h4>: Retrospectively, all patients aged ≥65 suffering from an acute unstable midthoracic fracture treated ... Read more >>

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Biomechanics and clinical outcome after posterior stabilization of mid-thoracic vertebral body fractures: a systematic literature review.

Ulrich J Spiegl, Georg Osterhoff, Philipp Bula, Frank Hartmann, Max J Scheyerer, Klaus J Schnake, Bernhard W Ullrich,

<h4>Purpose</h4>The aim of this review is to systematically screen the literature for clinical and biomechanical studies dealing with posterior stabilization of acute traumatic mid-thoracic vertebral fractures in patients with normal bone quality.<h4>Methods</h4>This review is based on articles retrieved by a systematic search in the PubMed and Web of Science database ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2020, :]

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Risk factors for intraoperative greater trochanteric fractures in hemiarthroplasty for intracapsular femoral neck fractures.

Johannes Karl Maria Fakler, Alexander Brand, Christian Lycke, Christina Pempe, Mohamed Ghanem, Andreas Roth, Georg Osterhoff, Ulrich Josef Albert Spiegl, Andreas Höch, Dirk Zajonz,

<h4>Purpose</h4>Hemiarthroplasty is widely accepted as the treatment of choice in elderly patients with a displaced intracapsular femoral neck fracture. Intraoperative greater trochanteric fractures thwart this successful procedure, resulting in prolonged recovery, inferior outcome, and increased risk of revision surgery. Hence, this study analyzed factors potentially associated with an increased risk ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2020, :]

Cited: 1 time

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[Minimally invasive stabilization of thoracolumbar osteoporotic fractures].

Klaus John Schnake, Max Josef Scheyerer, Ulrich Josef Albert Spiegl, Mario Perl, Bernhard Wilhelm Ullrich, Sebastian Grüninger, Georg Osterhoff, Sebastian Katscher, Kai Sprengel, ,

BACKGROUND:Minimally invasive stabilization of thoracolumbar osteoporotic fractures (OF) in neurologically intact patients is well established. Various posterior and anterior surgical techniques are available. The OF classification and OF score are helpful for defining the indications and choice of operative technique. OBJECTIVE:This article gives an overview of the minimally invasive stabilization ... Read more >>

Unfallchirurg (Der Unfallchirurg)
[2020, 123(10):764-773]

Cited: 1 time

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The AO triangular external fixator: a backup option in the treatment of ankle fractures in geriatric patients?

Robert Hennings, Ulrich J Spiegl, Johannes K M Fakler, Annette B Ahrberg,

<h4>Purpose</h4>To analyze the indications, radiological short-term outcomes, and complications of ankle fractures in geriatric patients treated with a triangular external fixator (AEF) until fracture healing. Furthermore, the effect of an additional osteosynthesis to AEF on the radiological outcome was investigated.<h4>Methods</h4>Retrospective analysis of ankle fractures treated in a Level I Trauma ... Read more >>

Eur J Orthop Surg Traumatol (European journal of orthopaedic surgery & traumatology : orthopedie traumatologie)
[2021, 31(4):719-727]

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[Which factors influence the inpatient course for patients with spondylodiscitis?]

Ulrich Josef Albert Spiegl, Anica Kilper, Stefan Glasmacher, Christoph-Eckhard Heyde, Christoph Josten,

BACKGROUND:Spondylodiscitis is a rare disease with an increasing incidence. METHODS:In this retrospective study 112 patients with spondylodiscitis surgically treated from 1 January 2005 to 31 December 2012 in a level I spine center were investigated with respect to potential prognostic criteria. The time period covered by the investigation was the duration of hospitalization. ... Read more >>

Unfallchirurg (Der Unfallchirurg)
[2020, 123(9):724-730]

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Long-term results after thoracoscopic anterior spondylodesis with or without posterior stabilization of unstable incomplete burst fractures of the thoracolumbar junction: a prospective cohort study.

Christof Hoffmann, Ulrich Josef Spiegl, Robert Paetzold, Brian Devitt, Stefan Hauck, Thomas Weiss, Volker Bühren, Oliver Gonschorek,

<h4>Background</h4>Minimally invasive, thoracoscopic anterior spondylodesis (MIAS) is an established treatment for burst fractures of the thoracolumbar spine. Good restoration of the local sagittal alignment and good functional results have been reported. The aim of this study was to evaluate long-term results of MIAS in patients with incomplete burst fractures and ... Read more >>

J Orthop Surg Res (Journal of orthopaedic surgery and research)
[2020, 15(1):412]

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Interobserver reliability of the Gehweiler classification and treatment strategies of isolated atlas fractures: an internet-based multicenter survey among spine surgeons.

Markus Laubach, Miguel Pishnamaz, Matti Scholz, Ulrich Spiegl, Richard Martin Sellei, Christian Herren, Frank Hildebrand, Philipp Kobbe,

<h4>Purpose</h4>Atlas (C1) fractures are commonly rated according to the Gehweiler classification, but literature on its reliability is scarce. In addition, evaluation of fracture stability and choosing the most appropriate treatment regime for C1-injuries are challenging. This study aimed to investigate the interobserver reliability of the Gehweiler classification and to identify ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2020, :]

Cited: 1 time

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Imaging in the Diagnosis of Nonspecific Pyogenic Spondylodiskitis.

Christoph Eckhard Heyde, Ulrich Josef Albert Spiegl, Anna Voelker, Nicolas von der Hoeh, Jeanette Henkelmann,

The prevalence of nonspecific pyogenic spondylodiskitis, associated with both a high morbidity and a high mortality, has increased in the last few decades. The diagnosis is often delayed because of the nonspecific clinical manifestation at the early stage. The reliability of radiographs is limited, particularly in early stage after the ... Read more >>

J Neurol Surg A Cent Eur Neurosurg (Journal of neurological surgery. Part A, Central European neurosurgery)
[2020, :]

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Comparison of Long Segmental Dorsal Stabilization with Complete Versus Restricted Pedicle Screw Cement Augmentation in Unstable Osteoporotic Midthoracic Vertebral Body Fractures: A Biomechanical Study.

Ulrich J Spiegl, Martin Weidling, Stefan Schleifenbaum, Martin Reinhardt, Christoph-E Heyde,

<h4>Objective</h4>To compare the construct stability of long-segmental dorsal stabilization in unstable midthoracic osteoporotic fracture situation with complete pedicle screw cement augmentation (ComPSCA) versus restricted pedicle screw cement augmentation (ResPSCA) of the most cranial and caudal pedicle screws.<h4>Methods</h4>Twelve fresh frozen human cadaveric specimens (Th 4-Th 10) aged 65 years and older ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 143:e541-e549]

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Traumatic Fractures of the Thoracic Spine.

Ulrich J A Spiegl, Klaus John Schnake, Frank Hartmann, Sebastian Katscher, Marion Riehle, Max J Scheyerer, Gregor Schmeiser, Holger Siekmann, Georg Osterhoff,

The majority of traumatic vertebral fractures occur at the thoracolumbar junction and the lumbar spine and less commonly at the mid-thoracic and upper thoracic spine. In accordance, a high number of articles are dealing with thoracolumbar fractures focusing on the thoracolumbar junction. Nonetheless, the biomechanics of the thoracic spine differ ... Read more >>

Z Orthop Unfall (Zeitschrift fur Orthopadie und Unfallchirurgie)
[2021, 159(4):373-382]

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[Diagnostics and treatment of thoracic and lumbar spine trauma in pediatric patients : Recommendations from the Pediatric Spinal Trauma Group].

Thomas Weiß, Alexander C Disch, Michael Kreinest, Jan-Sven Jarvers, Christian Herren, Matthias K Jung, Holger Meinig, Hauke Rüther, Thomas Welk, Michael Ruf, Andreas Badke, Oliver Gonschorek, Christoph E Heyde, Frank Kandziora, Christian Knop, Philipp Kobbe, Matti Scholz, Holger Siekmann, Ulrich Spiegl, Peter Strohm, Christoph Strüwind, Stefan Matschke, ,

<h4>Background</h4>Spinal injuries in pediatric patients are overall very rare. Current reference studies including large patient numbers that enable the formulation of evidence-based recommendations on diagnostics and treatment of these injuries do not exist.<h4>Objective</h4>The aim of the current study was to formulate recommendations on the diagnostics and treatment for injuries of ... Read more >>

Unfallchirurg (Der Unfallchirurg)
[2020, 123(4):269-279]

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Validation of a new method for evaluation of syndesmotic injuries of the ankle.

Annette B Ahrberg, Robert Hennings, Nikolaus von Dercks, Pierre Hepp, Christoph Josten, Ulrich J Spiegl,

<h4>Purpose</h4>To define a new parameter in CT that could make imaging of the contralateral ankle dispensable evaluating the position of the fibula after syndesmotic injury.<h4>Methods</h4>Thirty bilateral CTs of 30 patients were included. Five parameters were defined in axial CT for the injured (_inju) and uninjured (_unin) ankle. Reproducibility was examined ... Read more >>

Int Orthop (International orthopaedics)
[2020, 44(10):2095-2100]

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Percutaneous versus open posterior stabilization in AOSpine type A3 thoracolumbar fractures.

Christoph J Erichsen, Christoph-Eckhard Heyde, Christoph Josten, Oliver Gonschorek, Stephanie Panzer, Christian von Rüden, Ulrich J Spiegl,

BACKGROUND:The purpose of this retrospective cohort study was to compare treatment strategies of two level-one trauma centers regarding clinical and radiological outcomes focusing on non-osteoporotic AOSpine type A3 fractures of the thoracolumbar spine at levels T11 to L2. METHODS:Eighty-seven patients between 18 and 65 years of age that were treated operatively ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):74]

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[Diagnostics and treatment of cervical spine trauma in pediatric patients : Recommendations from the Pediatric Spinal Trauma Group].

Holger Meinig, Stefan Matschke, Michael Ruf, Tobias Pitzen, Alexander Disch, Jan-Sven Jarvers, Christian Herren, Thomas Weiß, Matthias K Jung, Hauke Rüther, Thomas Welk, Andreas Badke, Oliver Gonschorek, Christoph E Heyde, Frank Kandziora, Christian Knop, Philipp Kobbe, Matti Scholz, Holger Siekmann, Ulrich Spiegl, Peter Strohm, Christoph Strüwind, Michael Kreinest, ,

<h4>Background</h4>Severe cervical spine injuries in children under the age of 17 years are rare. Recommendations or even guidelines for the diagnostics and treatment of such injuries in children are currently not available.<h4>Objective</h4>The aim of the study was to formulate recommendations for diagnostics and treatment of injuries of the cervical spine in ... Read more >>

Unfallchirurg (Der Unfallchirurg)
[2020, 123(4):252-268]

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Magnetic resonance tomography for the early detection of occult fractures of the spinal column in patients with ankylosing spondylitis.

Nicolas H von der Höh, Jeanette Henkelmann, Jan-Sven Jarvers, Ulrich Josef A Spiegl, Anna Voelker, Christoph Josten, Christoph-Eckhard Heyde,

<h4>Purpose</h4>The purpose of this study was to determine the extent to which magnetic resonance imaging (MRI) performed in patients with ankylosing spondylitis (AS) after low- and no-energy trauma leads to an improved diagnosis and, as a result, to a change in the therapeutic strategy.<h4>Methods</h4>All patients with AS, who underwent surgery ... Read more >>

Eur Spine J (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society)
[2020, 29(4):870-878]

Cited: 2 times

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Epidemiology and management of atlas fractures.

Nora Fiedler, Ulrich J A Spiegl, Jan-Sven Jarvers, Christoph Josten, Christoph E Heyde, Georg Osterhoff,

<h4>Purpose</h4>The purpose of this study was to gain new insights into the epidemiologic characteristics of patients with atlas fractures and to retrospectively evaluate complication rates after surgical and non-surgical treatment.<h4>Methods</h4>In a retrospective study, consecutive patients diagnosed with a fracture of the atlas between 01/2008 and 07/2018 were analyzed. Data on ... Read more >>

Eur Spine J (European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society)
[2020, 29(10):2477-2483]

Cited: 1 time

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