A single posterior surgical procedure for cervical spinal fracture combined with ankylosing spondylitis
10.3760/cma.j.issn.1001-8050.2010.03.010
- VernacularTitle:单纯后方入路治疗合并强直性脊柱炎颈椎骨折
- Author:
Hongquan JI
;
Fang ZHOU
;
Yu SUN
;
Zhongjun LIU
;
Zhongqiang CHEN
;
Gengting DANG
- Publication Type:Journal Article
- Keywords:
Spinal fractures;
Cervical vertebrae;
Spondylitis,ankylosing;
Surgical procedure,operative
- From:
Chinese Journal of Trauma
2010;26(3):213-216
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical outcome of single posterior fixation and fusion in treatment of cervical spinal fracture combined with ankylosing spondylitis.Methods A total of 26 patients with cervical spinal fracture combined with ankylosing spondylitis admitted for surgical treatment from June 2003 to June 2008 were reviewed to analyze parameters including injury mechanism,injury severity,treatment course,operation records,postoperative follow-up and rehabilitation and evaluate neurologic recovery and fracture healing by using American Spinal Injury Association(ASIA)classification.Results A single posterior surgical procedure was performed in six patients,of whom the spinal cord function were rated at grade A in two patients,at grade B in one,at grade C in two and at grade D in one according to ASIA classification criteria.All patients were treated with posterior reduction and lateral mass fixation plus fusion.Two patients at grade ASIA A died of respiratory failure at 2 and 3 months respectively after operation.The other four patients were followed up for 12-54 months(mean 37 months),which showed solid fusion at average 3.8 months after operation and significant improvement of neural function.One patient with aggravated symptoms of spinal epidural hematoma at grade ASIA B was improved to grade D postoperatively.The patients at grades C and D recovered to normal.Hyponatremia occurred in two patients at grade ASIA A.There was no instrumentation related complications in all patients.Conclusions For cervical spinal fractures combined with ankylosing spondylitis without bone defect at fracture end,lateral mass fixation and autologous bone graft through a single posterior approach can attain stable fracture healing after sound reduction.
