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The treatment strategies for spine fractures in patients with ankylosing spondylitis: A case report

PURPOSE: The aim of the study was to explore surgical strategies for effectively treating spine fractures in patients with ankylosing spondylitis (AS) and investigate the postoperative outcomes. METHODS: We retrospectively analyzed 9 patients with AS that was complicated by spine fractures, who unde...

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Autores principales: Zhu, RuSen, Song, WenYe, Hu, Wei, Jiang, ZeHua, Yuan, JianJun, Cui, ZiJian, Wan, Jun, Liu, Yan, Feng, ShiQing, Zhang, XueLi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682815/
https://www.ncbi.nlm.nih.gov/pubmed/29095296
http://dx.doi.org/10.1097/MD.0000000000008462
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author Zhu, RuSen
Song, WenYe
Hu, Wei
Jiang, ZeHua
Yuan, JianJun
Cui, ZiJian
Wan, Jun
Liu, Yan
Feng, ShiQing
Zhang, XueLi
author_facet Zhu, RuSen
Song, WenYe
Hu, Wei
Jiang, ZeHua
Yuan, JianJun
Cui, ZiJian
Wan, Jun
Liu, Yan
Feng, ShiQing
Zhang, XueLi
author_sort Zhu, RuSen
collection PubMed
description PURPOSE: The aim of the study was to explore surgical strategies for effectively treating spine fractures in patients with ankylosing spondylitis (AS) and investigate the postoperative outcomes. METHODS: We retrospectively analyzed 9 patients with AS that was complicated by spine fractures, who underwent surgery at our spine and spinal cord clinic between 2005 and 2012. The surgical methods included posterior instrumentation and bone grafting, with or without decompression. Fracture healing and neurological function recovery were observed postoperatively. The average follow-up period was 45.1 months (range: 24–60). RESULTS: The 9 patients included 7 men and 2 women. Eight patients were treated with long posterior fixation. One patient underwent combined long posterior fixation and anterior bone grafting. The neurological function of these patients improved significantly to varying degrees after surgery, and fracture union and segmental instability of the lumbar vertebrae were radiologically confirmed at the 1-month and 2-year follow-up intervals. Severe surgery-related complications were not observed. CONCLUSIONS: Posterior instrumentation with bone grafting was a satisfying method for treating spine fractures in patients with AS.
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spelling pubmed-56828152017-11-28 The treatment strategies for spine fractures in patients with ankylosing spondylitis: A case report Zhu, RuSen Song, WenYe Hu, Wei Jiang, ZeHua Yuan, JianJun Cui, ZiJian Wan, Jun Liu, Yan Feng, ShiQing Zhang, XueLi Medicine (Baltimore) 7100 PURPOSE: The aim of the study was to explore surgical strategies for effectively treating spine fractures in patients with ankylosing spondylitis (AS) and investigate the postoperative outcomes. METHODS: We retrospectively analyzed 9 patients with AS that was complicated by spine fractures, who underwent surgery at our spine and spinal cord clinic between 2005 and 2012. The surgical methods included posterior instrumentation and bone grafting, with or without decompression. Fracture healing and neurological function recovery were observed postoperatively. The average follow-up period was 45.1 months (range: 24–60). RESULTS: The 9 patients included 7 men and 2 women. Eight patients were treated with long posterior fixation. One patient underwent combined long posterior fixation and anterior bone grafting. The neurological function of these patients improved significantly to varying degrees after surgery, and fracture union and segmental instability of the lumbar vertebrae were radiologically confirmed at the 1-month and 2-year follow-up intervals. Severe surgery-related complications were not observed. CONCLUSIONS: Posterior instrumentation with bone grafting was a satisfying method for treating spine fractures in patients with AS. Wolters Kluwer Health 2017-11-03 /pmc/articles/PMC5682815/ /pubmed/29095296 http://dx.doi.org/10.1097/MD.0000000000008462 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 7100
Zhu, RuSen
Song, WenYe
Hu, Wei
Jiang, ZeHua
Yuan, JianJun
Cui, ZiJian
Wan, Jun
Liu, Yan
Feng, ShiQing
Zhang, XueLi
The treatment strategies for spine fractures in patients with ankylosing spondylitis: A case report
title The treatment strategies for spine fractures in patients with ankylosing spondylitis: A case report
title_full The treatment strategies for spine fractures in patients with ankylosing spondylitis: A case report
title_fullStr The treatment strategies for spine fractures in patients with ankylosing spondylitis: A case report
title_full_unstemmed The treatment strategies for spine fractures in patients with ankylosing spondylitis: A case report
title_short The treatment strategies for spine fractures in patients with ankylosing spondylitis: A case report
title_sort treatment strategies for spine fractures in patients with ankylosing spondylitis: a case report
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5682815/
https://www.ncbi.nlm.nih.gov/pubmed/29095296
http://dx.doi.org/10.1097/MD.0000000000008462
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