Posterior fixation of subaxial cervical spine fractures in patients with ankylosing spondylitis

Cornefjord, Michael; Alemany, Montserrat; Olerud, Claes

doi:10.1007/s00586-004-0733-1

Cited by 65 publications

(55 citation statements)

References 40 publications

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“…Multilevel fixation also improves stability given the generally poor bone quality. 5 When inserting lateral mass and pedicle screws, however, particular attention must be made to evaluating preoperative radiographs and computed tomography scans because the normal osseous landmarks for screw entry may be misleading. As a result, Taggard and Traynelis recommend using shorter-length screws to reduce the risk of a canal or foraminal violation.…”

Section: Internal Fixationmentioning

confidence: 99%

Management of cervical deformity in ankylosing spondylitis

Hoh

Khoueir

Wang

2008

FOC

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✓ Ankylosing spondylitis can lead to severe cervical kyphosis, causing problems with forward vision, swallowing, hygiene, patient functionality, and social outlook. Evaluation of patients with cervical flexion deformity includes assessment of global sagittal balance and chin–brow angle. The primary treatment in extreme disabling cases is surgical correction involving a posterior cervical extension osteotomy, which is a technically demanding procedure with considerable risk of neurological injury. To address the potential complications with extension osteotomy, the authors of several reports have described modifications to the surgical technique. These developments incorporate recent advances in anesthesia, neuromonitoring, and spinal instrumentation. Complications associated with the procedure include subluxation at the osteotomy level, spinal cord injury, radiculopathy, dysphagia, and pseudarthrosis. Although the risks of spinal correction are considerable, extension osteotomy remains an effective treatment modality for patients with disabling cervical flexion deformity.

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Section: Internal Fixationmentioning

confidence: 99%

Management of cervical deformity in ankylosing spondylitis

Hoh

Khoueir

Wang

2008

FOC

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“…The latter, without any primary dislocation, can be missed in plain films 9) . The radiologic imaging of lower cervical spine fractures in patients with AS demands special attention since these injuries are frequently missed and the diagnosis is delayed 3,5,14) . Despite a high clinical suspicion, if conventional plain radiographs do not reveal any evidence of a spinal fracture, the use of high resolution 3D CT scan of the entire spinal column with sagittal reconstructed views, as in the current case, is clearly advantageous because of the increased sensitivity in documenting the fracture 20) .…”

Section: Discussionmentioning

confidence: 99%

Surgical Experience of Neglected Lower Cervical Spine Fracture in Patient with Ankylosing Spondylitis

Kim

et al. 2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 48 : [66][67][68][69] 2010 The management of lower cervical fractures in patients with ankylosing spondylitis (AS) differs from normal cervical fractures. Patients with AS are highly susceptible to extensive neurologic injuries and spinal deformities after cervical fractures from even minor traumatic forces. These injuries are uniquely complex, require careful imaging assessment, and aggressive surgical management to optimize spinal stability and functional outcomes.

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“…As in our patient, open cervical fracture reduction was performed without the use of rigid external immobilization to prevent further neurologic demise and facilitate postoperative recovery. 9,10,45 However, our patient's condition was further complicated with the development of pneumonia. It is noteworthy that pulmonary complications are commonly associated with ankylosing spondylitis 10,12,13,33,46 and that the risk of poor outcomes increases with age.…”

Section: Discussionmentioning

confidence: 79%

Multiple and Simultaneous Spine Fractures in Ankylosing Spondylitis

Samartzis¹,

Anderson²,

Shen³

2005

Spine

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Patients with ankylosing spondylitis have a strong susceptibility to spine fracture from minor trauma, which can have devastating outcomes. Nonregion-specific multiple and simultaneous spine fractures can occur, and require thorough radiographic evaluation with imaging of the entire spinal axis, appropriate operative planning, and meticulous perioperative treatment. Preexisting internal spine instrumentation may predispose the ankylosing spondylitis spine to multiple fractures, even following a minor traumatic event. As such, the clinician should be cognizant of the possible existence of multiple and simultaneous fractures in patients with ankylosing spondylitis with preexisting internal spine instrumentation.

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Posterior fixation of subaxial cervical spine fractures in patients with ankylosing spondylitis

Abstract: Cervical spine fractures in patients with ankylosing spondylitis are serious and potentially lethal injuries with high complication rates.

Cited by 65 publications

References 40 publications

Management of cervical deformity in ankylosing spondylitis

Management of cervical deformity in ankylosing spondylitis

Surgical Experience of Neglected Lower Cervical Spine Fracture in Patient with Ankylosing Spondylitis

Multiple and Simultaneous Spine Fractures in Ankylosing Spondylitis

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