[Traumatic injuries in ankylosing spinal diseases].

Area of Science:

• Spinal traumatology
• Orthopedic surgery
• Radiology

Background:

• Ankylosing spinal diseases, including ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH), are significant in spinal trauma.
• These conditions predispose the spine to injury, complicating diagnosis and treatment, and increasing mortality.
• Neurological injuries frequently occur concurrently with spinal injuries in these patients.

Purpose of the Study:

• To highlight the importance of ankylosing spinal diseases in spinal traumatology.
• To emphasize the diagnostic and therapeutic challenges posed by these conditions.
• To underscore the critical role of timely and accurate diagnostics and surgical intervention.

Main Methods:

• Review of AO Spine Classification regarding ankylosing spinal diseases.
• Emphasis on diagnostic modalities: computed tomography (CT) and magnetic resonance imaging (MRI).
• Discussion of surgical intervention as the primary treatment modality.

Main Results:

• Ankylosing spinal diseases significantly increase spinal injury susceptibility and mortality.
• Early and precise diagnostics (CT/MRI) are crucial for patient outcomes.
• Surgical treatment is preferred over conservative methods due to high complication rates.

Conclusions:

• Management of spinal injuries in patients with ankylosing spinal diseases requires meticulous planning and execution.
• Surgical intervention is critical for survival and quality of life.
• Postoperative care must focus on preventing cardiopulmonary complications.