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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...

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Autores principales: Shen, Nana, Wu, Xiaolin, Guo, Zhu, Yang, Shuai, Liu, Chang, Guo, Zhaoyang, Yang, Shang-You, Xing, Dongming, Chen, Bohua, Xiang, Hongfei
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
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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.
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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
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