Cargando…
Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study
OBJECTIVE: Through the follow-up analysis of cervical spine fracture cases with ankylosing spondylitis (AS), a treatment-oriented fracture classification method is introduced to evaluate the clinical efficacy guided by this classification method. METHOD: A retrospective analysis was performed on 128...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916892/ https://www.ncbi.nlm.nih.gov/pubmed/35281345 http://dx.doi.org/10.1155/2022/7769775 |
_version_ | 1784668418987786240 |
---|---|
author | Shen, Nana Wu, Xiaolin Guo, Zhu Yang, Shuai Liu, Chang Guo, Zhaoyang Yang, Shang-You Xing, Dongming Chen, Bohua Xiang, Hongfei |
author_facet | Shen, Nana Wu, Xiaolin Guo, Zhu Yang, Shuai Liu, Chang Guo, Zhaoyang Yang, Shang-You Xing, Dongming Chen, Bohua Xiang, Hongfei |
author_sort | Shen, Nana |
collection | PubMed |
description | OBJECTIVE: Through the follow-up analysis of cervical spine fracture cases with ankylosing spondylitis (AS), a treatment-oriented fracture classification method is introduced to evaluate the clinical efficacy guided by this classification method. METHOD: A retrospective analysis was performed on 128 AS patients who underwent comprehensive treatment in the Spine Surgery Department of Qingdao University Hospital from January 2009 to May 2018. Statistics of patient demographic data, distribution of different fractures corresponding to surgical methods, 3-year follow-up outcomes, and summary of objective fracture classification methods were analyzed. A prospective 5-year follow-up study of 90 patients with AS cervical spine fractures from June 2015 to August 2020 was also included. Statistical differences on the distribution of factors such as case information, cervical spine sagittal sequence parameters, and fracture classification were assessed. Correlations between surgical information, American Spinal Injuries Association grade (ASIA), modified Japanese Orthopaedic Association scores (mJOA), and other factors were analyzed to establish a nomogram predictive model for curative effect outcomes. Overall, three major types and the four subtypes of AS cervical spine fractures were evaluated based on the clinical efficacy of the classification and the selection of surgical treatment methods. RESULT: The most common type of fracture was type II (30 cases, 33.33%), most of the subtypes were A (37 cases), followed by B (36 cases) and C (17 cases). Twenty-four of 28 patients with type I underwent anterior surgery, and 47 of 62 patients with type II and III underwent posterior surgery. The average follow-up time was 25.76 ± 11.80 months. The results of predicting clinical variables are different but include factors such as fracture type and subtype, type of operation, and age. The predictor variables include the above-mentioned similar variables, but survival is more affected by the fracture type of the patient. CONCLUSION: This predictive model based on follow-up information delineation points out the impact of ankylosing spondylitis cervical spine fracture classification on surgical selection and clinical efficacy. |
format | Online Article Text |
id | pubmed-8916892 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-89168922022-03-12 Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study Shen, Nana Wu, Xiaolin Guo, Zhu Yang, Shuai Liu, Chang Guo, Zhaoyang Yang, Shang-You Xing, Dongming Chen, Bohua Xiang, Hongfei Pain Res Manag Research Article OBJECTIVE: Through the follow-up analysis of cervical spine fracture cases with ankylosing spondylitis (AS), a treatment-oriented fracture classification method is introduced to evaluate the clinical efficacy guided by this classification method. METHOD: A retrospective analysis was performed on 128 AS patients who underwent comprehensive treatment in the Spine Surgery Department of Qingdao University Hospital from January 2009 to May 2018. Statistics of patient demographic data, distribution of different fractures corresponding to surgical methods, 3-year follow-up outcomes, and summary of objective fracture classification methods were analyzed. A prospective 5-year follow-up study of 90 patients with AS cervical spine fractures from June 2015 to August 2020 was also included. Statistical differences on the distribution of factors such as case information, cervical spine sagittal sequence parameters, and fracture classification were assessed. Correlations between surgical information, American Spinal Injuries Association grade (ASIA), modified Japanese Orthopaedic Association scores (mJOA), and other factors were analyzed to establish a nomogram predictive model for curative effect outcomes. Overall, three major types and the four subtypes of AS cervical spine fractures were evaluated based on the clinical efficacy of the classification and the selection of surgical treatment methods. RESULT: The most common type of fracture was type II (30 cases, 33.33%), most of the subtypes were A (37 cases), followed by B (36 cases) and C (17 cases). Twenty-four of 28 patients with type I underwent anterior surgery, and 47 of 62 patients with type II and III underwent posterior surgery. The average follow-up time was 25.76 ± 11.80 months. The results of predicting clinical variables are different but include factors such as fracture type and subtype, type of operation, and age. The predictor variables include the above-mentioned similar variables, but survival is more affected by the fracture type of the patient. CONCLUSION: This predictive model based on follow-up information delineation points out the impact of ankylosing spondylitis cervical spine fracture classification on surgical selection and clinical efficacy. Hindawi 2022-03-04 /pmc/articles/PMC8916892/ /pubmed/35281345 http://dx.doi.org/10.1155/2022/7769775 Text en Copyright © 2022 Nana Shen et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Shen, Nana Wu, Xiaolin Guo, Zhu Yang, Shuai Liu, Chang Guo, Zhaoyang Yang, Shang-You Xing, Dongming Chen, Bohua Xiang, Hongfei Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study |
title | Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study |
title_full | Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study |
title_fullStr | Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study |
title_full_unstemmed | Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study |
title_short | Classification and Treatment for Cervical Spine Fracture with Ankylosing Spondylitis: A Clinical Nomogram Prediction Study |
title_sort | classification and treatment for cervical spine fracture with ankylosing spondylitis: a clinical nomogram prediction study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916892/ https://www.ncbi.nlm.nih.gov/pubmed/35281345 http://dx.doi.org/10.1155/2022/7769775 |
work_keys_str_mv | AT shennana classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT wuxiaolin classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT guozhu classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT yangshuai classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT liuchang classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT guozhaoyang classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT yangshangyou classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT xingdongming classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT chenbohua classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy AT xianghongfei classificationandtreatmentforcervicalspinefracturewithankylosingspondylitisaclinicalnomogrampredictionstudy |