Clinical guideline for diagnosis and treatment of adult ankylosing spondylitis combined with thoracolumbar fracture (version 2023)
- VernacularTitle:成人强直性脊柱炎合并胸腰椎骨折临床诊疗指南（2023版）
- Author:
Jianan ZHANG
1
;
Bohua CHEN
;
Tongwei CHU
;
Yirui CHEN
;
Jian DONG
;
Haoyu FENG
;
Shunwu FAN
;
Shiqing FENG
;
Yanzheng GAO
;
Zhong GUAN
;
Yong HAI
;
Lijun HE
;
Yuan HE
;
Dianming JIANG
;
Jianyuan JIANG
;
Bin LIN
;
Bin LIU
;
Baoge LIU
;
Dechun LI
;
Fang LI
;
Feng LI
;
Guohua LYU
;
Li LI
;
Qi LIAO
;
Weishi LI
;
Xiaoguang LIU
;
Yong LIU
;
Zhongjun LIU
;
Shibao LU
;
Wei MEI
;
Yong QIU
;
Limin RONG
;
Yong SHEN
;
Huiyong SHEN
;
Jun SHU
;
Yueming SONG
;
Honghui SUN
;
Tiansheng SUN
;
Yan WANG
;
Zhe WANG
;
Zheng WANG
;
Yongming XI
;
Hong XIA
;
Jinglong YAN
;
Liang YAN
;
Wen YUAN
;
Gang ZHAO
;
Jie ZHAO
;
Jianguo ZHANG
;
Xiaozhong ZHOU
;
Yue ZHU
;
Yingze ZHANG
;
Dingjun HAO
;
Baorong HE
Author Information
- Keywords: Spondylitis, ankylosing; Thoracic vertebrae; Lumbar vertebrae; Spinal fractures; Guideline
- From: Chinese Journal of Trauma 2023;39(3):204-213
- CountryChina
- Language:Chinese
- Abstract: Ankylosing spondylitis (AS) combined with spinal fractures with thoracic and lumbar fracture as the most common type shows characteristics of unstable fracture, high incidence of nerve injury, high mortality and high disability rate. The diagnosis may be missed because it is mostly caused by low-energy injury, when spinal rigidity and osteoporosis have a great impact on the accuracy of imaging examination. At the same time, the treatment choices are controversial, with no relevant specifications. Non-operative treatments can easily lead to bone nonunion, pseudoarthrosis and delayed nerve injury, while surgeries may be failed due to internal fixation failure. At present, there are no evidence-based guidelines for the diagnosis and treatment of AS combined with thoracic and lumbar fracture. In this context, the Spinal Trauma Academic Group of Orthopedics Branch of Chinese Medical Doctor Association organized experts to formulate the Clinical guideline for the diagnosis and treatment of adult ankylosing spondylitis combined with thoracolumbar fracture ( version 2023) by following the principles of evidence-based medicine and systematically review related literatures. Ten recommendations on the diagnosis, imaging evaluation, classification and treatment of AS combined with thoracic and lumbar fracture were put forward, aiming to standardize the clinical diagnosis and treatment of such disorder.
