Clinical outcome after traumatic spinal fractures in patients with ankylosing spinal disorders compared with control patients.

摘要: Abstract Background context The clinical outcome of patients with ankylosing spinal disorders (ASDs) sustaining a fracture has been described to be worse compared the general trauma population. Purpose To investigate (neurologic deficits, complications, and mortality) after injury in spondylitis (AS) diffuse idiopathic skeletal hyperostosis (DISH) control patients. Study design Retrospective cohort study. Patient sample All older than 50 years admitted traumatic Emergency Department University Medical Center Utrecht, Netherlands, regional level-1 center tertiary referral spine center. Outcome measures Data on comorbidity (Charlson score), mechanism trauma, characteristics, neurologic deficit, in-hospital mortality were collected from medical records. Methods With logistic regression analysis, association between presence an ASD was investigated relation other known risk factors for mortality. Results A total 165 met inclusion criteria; 14 diagnosed AS (8.5%), 40 had DISH (24.2%), 111 (67.3%). Ankylosing disorder approximately five predominantly male gender. Charlson score did not significantly differ among groups, but Type 2 diabetes mellitus obesity more prevalent In many cases, fractures resulted low-energy showed hyperextension configuration. Patients frequently deficit (57.1% 30.0%, respectively) controls (12.6%; p=.002), which improve majority cases. patients, complication rates higher controls. Logistic analysis parameters age independently, statistically related Conclusions Many unstable (hyperextension) configurations deficits. Complication Increasing are predictors fracture.