Combined anterior and posterior surgery for treatment of cervical fracture-dislocation in patients with ankylosing spondylitis / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 148-152, 2009.
Artigo
em Inglês
| WPRIM
| ID: wpr-239784
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the pathological characteristics of cervical spinal fracture complicating ankylosing spondylitis (AS) and the effect of combined anterior and posterior operation.</p><p><b>METHODS</b>Eighteen AS patients with traumatic cervical fracture-dislocation were treated operatively from January 2000 to January 2006. The symptom duration of AS was 14.5 years on average. Three cases had undergone osteotomy in lumbar spine. There were 4 cases of Grade A, 3 cases of Grade B, 9 cases of Grade C and 2 cases of Grade D according to Frankel's score. There were 15 cases of Grade III dislocation and 3 cases of Grade II. All patients underwent surgical procedures by combined anterior and posterior approach.</p><p><b>RESULTS</b>There were 4 anterior-posterior procedures, 8 anterior-posterior-anterior procedures and 6 posterior-anterior procedures. Seven patients had one stage operation and 11 cases underwent two stage surgeries. There was certain extent of neurological improvement in 14 incomplete paraplegic patients, but no improvement in 4 complete paraplegic patients. The follow-up period was 21.2 months on average and the time for bone fusion was 3.6 months. There were 4 complications during operation and a long-term complication in follow-up.</p><p><b>CONCLUSIONS</b>The study suggests that anterior combined with posterior approach makes the spine stable and relieves the pressure immediately. It is a reasonable surgical strategy for treatment of cervical spinal fracture-dislocation with AS.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Espondilite Anquilosante
/
Cirurgia Geral
/
Ferimentos e Lesões
/
Vértebras Cervicais
/
Estudos Retrospectivos
/
Fraturas da Coluna Vertebral
/
Luxações Articulares
Tipo de estudo:
Estudo observacional
Limite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Journal of Traumatology
Ano de publicação:
2009
Tipo de documento:
Artigo
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