Treatment of spinal fractures in ankylosing spondylitis.

摘要: Ankylosing spondylitis (AS) is a chronic inflammatory spondyloarthropathy with the potential for progressive spinal stiffness that ultimately makes patients susceptible to fractures traumatic cord injury from even low-energy trauma. Treatment of AS and (AS+FX) controversial because, although these need especially rigorous stabilization, surgery has been associated an increased risk complications persistent neurological deficits. The purpose this retrospective case series was profile AS+FX 19-year period within authors' county hospital system, including differences status in treated operatively vs nonoperatively. study group comprised 11 (9 men 2 women; mean age, 63 years [range, 38-91 years]). authors reviewed available clinical notes imaging reports. Six had posterior operative fixation, 5 were stabilized By time either discharge or final follow-up, 3 deteriorated neurologically (2 them preoperatively) remained stable. Of nonoperatively, intact, 1 deteriorated, recovered completely. most common all pneumonia urinary tract infection. Operative nonoperative management produced acceptable outcomes patients. recommend individualized treatment, accounting patient preferences comorbidities.