Surgical treatment of ankylosing spondylitis with cervical fracture-dislocation
- VernacularTitle:强直性脊柱炎合并颈椎骨折脱位的外科治疗
- Author:
Peng XU
1
;
Jian-Gang SHI
;
Xiao-Jian YE
;
Guo-Dong SHI
;
Guo-Hua XU
;
Yang HOU
;
Wen YUAN
;
Lian-Shun JIA
Author Information
1. 第二军医大学长征医院脊柱外科
- Keywords:
ankylosing spondylitis;
cervical spine fracture;
surgical operation
- From:
Chinese Journal of Clinical Medicine
2016;23(3):347-349
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical features of ankylosing spondylitis (AS) with traumatic cervical fracture-dislocation ,and discuss the crucial considerations of surgical treatment . Methods: The data of 9 patients of ankylosing spondylitis with traumatic cervical fracture-dislocation treated in Changzheng Hospital from January 2013 to April 2015 were analyzed ,and the clinical data ,follow-up data and imaging results were summarized .Results:The average course of disease was (20 .3 ± 9 .4) years .There were 4 cases of grade C and 5 cases of grade D according to the Frankel grading .There were five anterior operations ,two posterior operations and two combined anterior-posterior operations .All cases were followed up for 12-24 months (mean [16 .1 ± 3 .5] months) .Postoperative neurological function was improved in all patients ,perioperative complications included cerebral spinal fluid leakage in one case and incision deep infection in one case .There were no fracture nonunion ,pseudarthrosis and internal fixation failure .Conclusions:Because of local stress concentration and poor stability of AS with cervical fracture-dislocation ,we should actively implement surgical treatment to rebuild spinal stability and lower the probability of occurrence of spinal cord injury .Meanwhile ,perioperative management should be strengthened to avoid the secondary spinal cord injury .
