Clinical guidelines for the treatment of ankylosing spondylitis combined with lower cervical fracture in adults (version 2024)
- VernacularTitle:成人强直性脊柱炎合并下颈椎骨折临床诊疗指南（2024版）
- Author:
Qingde WANG
1
;
Yuan HE
;
Bohua CHEN
;
Tongwei CHU
;
Jinpeng DU
;
Jian DONG
;
Haoyu FENG
;
Shunwu FAN
;
Shiqing FENG
;
Yanzheng GAO
;
Zhong GUAN
;
Hua GUO
;
Yong HAI
;
Lijun HE
;
Dianming JIANG
;
Jianyuan JIANG
;
Bin LIN
;
Bin LIU
;
Baoge LIU
;
Chunde LI
;
Fang LI
;
Feng LI
;
Guohua LYU
;
Li LI
;
Qi LIAO
;
Weishi LI
;
Xiaoguang LIU
;
Hongjian LIU
;
Yong LIU
;
Zhongjun LIU
;
Shibao LU
;
Yong QIU
;
Limin RONG
;
Yong SHEN
;
Huiyong SHEN
;
Jun SHU
;
Yueming SONG
;
Tiansheng SUN
;
Yan WANG
;
Zhe WANG
;
Zheng WANG
;
Hong XIA
;
Guoyong YIN
;
Jinglong YAN
;
Wen YUAN
;
Zhaoming YE
;
Jie ZHAO
;
Jianguo ZHANG
;
Yue ZHU
;
Yingjie ZHOU
;
Zhongmin ZHANG
;
Wei MEI
;
Dingjun HAO
;
Baorong HE
Author Information
- Keywords: Spondylitis, ankylosing; Cervical vertebrae; Spinal fractures; Guidebooks
- From: Chinese Journal of Trauma 2024;40(2):97-106
- CountryChina
- Language:Chinese
- Abstract: Ankylosing spondylitis (AS) combined with lower cervical fracture is often categorized into unstable fracture, with a high incidence of neurological injury and a high rate of disability and morbidity. As factors such as shoulder occlusion may affect the accuracy of X-ray imaging diagnosis, it is often easily misdiagnosed at the primary diagnosis. Non-operative treatment has complications such as bone nonunion and the possibility of secondary neurological damage, while the timing, access and choice of surgical treatment are still controversial. Currently, there are no clinical practice guidelines for the treatment of AS combined with lower cervical fracture with or without dislocation. To this end, the Spinal Trauma Group of Orthopedics Branch of Chinese Medical Doctor Association organized experts to formulate Clinical guidelines for the treatment of ankylosing spondylitis combined with lower cervical fracture in adults ( version 2024) in accordance with the principles of evidence-based medicine, scientificity and practicality, in which 11 recommendations were put forward in terms of the diagnosis, imaging evaluation, typing and treatment, etc, to provide guidance for the diagnosis and treatment of AS combined with lower cervical fracture.
