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[Spinal fractures in ankylosing spondylitis].
L Bernd1, K Bläsius, M Lukoschek
1Stiftung Orthopädische Universitätsklinik Heidelberg.
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|January 1, 1992
Summary
Ankylosing spondylitis patients with fixed spines face high risks of cervical fractures from minor trauma, leading to significant fatality. Early preventive measures and timely operative stabilization for severe cases are crucial for managing this condition.
Area of Science:
- Rheumatology
- Orthopedics
- Spinal Surgery
Background:
- Ankylosing spondylitis (AS) is a chronic inflammatory disease primarily affecting the spine, leading to fusion and immobility.
- Spinal immobility in advanced AS increases susceptibility to fractures, particularly in the lower cervical region.
- These fractures often result from minimal trauma, posing a substantial health risk.
Observation:
- Patients with end-stage ankylosing spondylitis exhibit a completely rigid spine.
- The loss of spinal mobility renders these patients vulnerable to traumatic injuries.
- Fractures predominantly occur in the lower cervical spine due to minor incidents.
Findings:
- Ankylosing spondylitis patients are at high risk for spinal fractures.
- Fractures in this population have a high fatality rate, estimated at 30%.
- Operative stabilization is recommended for severe fracture-dislocations and neurological deficits.
Implications:
- Preventive strategies to avoid spinal trauma in AS patients are essential.
- Early recognition and management of spinal fractures in AS are critical.
- Multidisciplinary approaches involving rheumatologists and orthopedic surgeons are necessary for optimal patient outcomes.