Journal article
Management of spinal fractures in patients with ankylosing spondylitis
Clinical neurology and neurosurgery, Vol.139, pp.177-182
12/2015
DOI: 10.1016/j.clineuro.2015.10.014
PMID: 26513429
Abstract
•Spinal fractures in of ankylosing spondylitis (AS) patients have potentially devastating complications.•Management of spinal fractures in the setting of AS remains controversial.•Surgical treatment of spinal fractures related to AS seems to be safe and to improve patient outcomes.•Prevention is essential in minimizing morbidity of spinal fractures in AS patients.
Ankylosing spondlylitis is a seronegative spondyloarthropathy that primarily affects the spinal column and sacroiliac joints. With disease progression autofusion of the spinal column takes place. This combined with the brittle bone quality make patients prone to fractures and spinal cord injury. The typical fracture pattern is extension type and involves all three columns. These fractures and injuries may involve the craniovertebral junction, the subaxial cervical spine, and the thoracolumbar spine. While at times these fractures are challenging to manage especially when they affect the elderly, there is evidence that supports long segment fixation and fusion. This article presents a narrative review on managing spinal fractures in patients with ankylosing spondylitis.
Details
- Title: Subtitle
- Management of spinal fractures in patients with ankylosing spondylitis
- Creators
- Najib E El Tecle - Department of Neurological Surgery, Saint Louis University, St. Louis, MO, United StatesKingsley O Abode-Iyamah - Department of Neurosurgery, University of Iowa, Iowa City, IA, United StatesPatrick W Hitchon - Department of Neurosurgery, University of Iowa, Iowa City, IA, United StatesNader S Dahdaleh - Department of Neurological Surgery, Northwestern University Fienberg School of Medicine, Chicago, IL, United States
- Resource Type
- Journal article
- Publication Details
- Clinical neurology and neurosurgery, Vol.139, pp.177-182
- Publisher
- Elsevier B.V
- DOI
- 10.1016/j.clineuro.2015.10.014
- PMID
- 26513429
- ISSN
- 0303-8467
- eISSN
- 1872-6968
- Language
- English
- Date published
- 12/2015
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Neurosurgery
- Record Identifier
- 9984040288502771
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