Der Unfallchirurg
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Case Reports
[Dens fracture and multiple fracture of the thoracic spine after fall from great height. Diagnostic standard].
Multiple level spine fractures after a fall from a great height frequently cause a neurological deficit with paraplegia. In general, survival after a free fall from 20 m height without any neurological deficit is very unlikely. ⋯ In addition, 3 D reconstructions should be performed if rotatory instability is suspected. This case report illustrates the management and diagnostic problems of a serial spine trauma.
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In the study presented on 380 allogenic bone donations from living and organ donors, we analyzed the safety of allograft handling bone-band documentation, logistics and costs. For transplant treatment we routinely used a thermal disinfection system (Lobator SD-1). From 380 allograft donors, 400 bone transplants were gained. ⋯ Considering the low rejection rate and the short turnover rate, the economical costs could be reduced. Using an appropriate disinfection system (thermal disinfection at 80 degrees C), laboratory tests covering venereal diseases, malaria and cytomegalia are no longer required. Also, secondary HIV testing of living donors can be omitted without reducing the safety of the transplant.