Cervical spine surgery in ankylosing spondylitis: Review and current concept

Lazennec, Jean-Yves; Ramos-Pascual, Sonia; Rousseau, Marc-Antoine

doi:10.1016/j.otsr.2015.02.005

Cited by 42 publications

(46 citation statements)

References 29 publications

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“…[11,14–16,19] But, the patients with heart or respiratory failure cannot afford the long surgery duration, severe surgical injury and high blood loss, high risk of perioperative period complications, this combined anterior–posterior method is not suitable for them. [11,14–16,18–22] …”

Section: Discussionmentioning

confidence: 99%

“…[8–10] When the symptom of cervical spine instability and neurological impairments is observed in these patients, surgery is highly regarded as the efficient treatment method for these patients. [14,15] …”

Section: Introductionmentioning

confidence: 99%

“…[11–13] The common surgical approaches for cervical spine fracture mainly include simple anterior approach alone, posterior approach alone, and combined anterior–posterior approach. [14,15] Due to the extensive osteoporosis in spine of AS patients, it is very challenging for the surgery to avoid the second injury of spinal cord and the severe complications no matter which surgical approach adopted. [11–16] Generally, cervical fracture appears to be unstable Chance fracture, often affecting anterior, middle, and posterior column (3-column) with high probability of dislocation, neurological impairment.…”

Section: Introductionmentioning

confidence: 99%

“…It still remains controversial in which method is the safest and most effective due to the high risk of complications after surgery. [14,15] …”

Section: Introductionmentioning

confidence: 99%

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One-stage surgical treatment of cervical spine fracture-dislocation in patients with ankylosing spondylitis via the combined anterior–posterior approach

Xie

Cai

et al. 2017

Medicine

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The aim of the article is to investigate the efficacy and safety of 1-stage surgical therapy via combined anterior–posterior approach on cervical spine fracture in patients with ankylosing spondylitis (AS).We retrospectively analyzed profiles of 12 AS patients with severe fracture-dislocation of cervical spine received 1-stage combined anterior–posterior surgery in our hospital from October, 2013, to October, 2015, including clinical characteristics, follow-up data, and imaging records. We compared the parameters before and after surgery on the basis of neurological function, bone fusion, Cobb angles of operation segment, Barthel index (BI) score, and incidence rate of complications.A total of 12 patients received 1-stage surgery via combined anterior–posterior approach within 3 days after injury. No severe complications and death occurred. All patients received the successfully anatomical reduction of fracture-dislocation, in which 9 achieved function restoration. The latest follow-up showed the neurological function status of patients was improved. The Cobb angles of operation segments were recovered; the rate of bone fusion was 66.7% at 3 months and 100% at 6 months post-operation. The BI score was improved, 4 cases of moderate dependence and 8 of slight dependence at the latest follow-up compared to 10 of severe dependence and 2 of moderate dependence preoperation. In no cases did severe complications from implanted instrumentation occur.It was high efficacy and safety that the surgical therapy was performed on cervical fracture-dislocation in AS patients by the 1-stage combined anterior–posterior approach. The key of the surgery is the robust stabilization and full decompression of fracture spine at early stage. In addition, if spinal anatomical reduction of fracture segments is difficult to be achieved, the functional restoration should be adopted during the surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…It still remains controversial in which method is the safest and most effective due to the high risk of complications after surgery. [14,15] …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

One-stage surgical treatment of cervical spine fracture-dislocation in patients with ankylosing spondylitis via the combined anterior–posterior approach

Xie

Cai

et al. 2017

Medicine

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“…The multi-level Smith-Petersen osteotomy was considered impossible [16] due to the complete ossification of both columns of the spine. In the second stage, the C7 PSO type "open-wedge" is planned with the maximum possible correction [17].…”

Section: Methodsmentioning

confidence: 99%

Multilevel spinal osteotomy in ankylosing spondylitis – case report

Niedźwiecki¹,

Makowski²,

Niedźwiecki³

et al. 2018

Chir. Narzadow Ruchu Ortop. Pol.

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Ankylosing spondylitis (AS, Bechterew's Disease) is a chronic inflammatory disease of the spine of unknown etiology. One of its consequences is the progressive deformity of the spine. The resulting spinal imbalance results in falls and fractures. Surgical treatment of fixed deformities consists in reconstructing the spine balance through osteotomies of the spine with its stiffening in a corrective position. The following paper presents the case of a patient with total hyperkyphosis in the course of AS, traumatic PTK, and global sagittal imbalance, subjected to two-stage surgical treatment of spinal deformities with the use of three-column osteotomies in the cervical and lumbar spine sections.

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Cervical Spine Disease in Elderly Patients with Ankylosing Spondylitis

Chen

et al. 2023

Treatment of Spine Disease in the Elderly

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Cervical spine surgery in ankylosing spondylitis: Review and current concept

Cited by 42 publications

References 29 publications

One-stage surgical treatment of cervical spine fracture-dislocation in patients with ankylosing spondylitis via the combined anterior–posterior approach

One-stage surgical treatment of cervical spine fracture-dislocation in patients with ankylosing spondylitis via the combined anterior–posterior approach

Multilevel spinal osteotomy in ankylosing spondylitis – case report

Cervical Spine Disease in Elderly Patients with Ankylosing Spondylitis

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