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Cervical pseudarthrosis in ankylosing spondylitis. A case report
Spine
|December 1, 1996
Summary
Cervical pseudarthrosis in ankylosing spondylitis is exceptionally rare. Surgical intervention is essential for managing this condition, leading to positive patient outcomes.
Area of Science:
- Spine surgery
- Rheumatology
- Orthopedics
Background:
- Ankylosing spondylitis can lead to pseudarthrosis, a rare complication affecting the cervical spine.
- Pathogenesis involves factors like trauma (major or minor), stress fractures, and inflammatory changes.
Observation:
- Two cases of cervical pseudarthrosis in ankylosing spondylitis are presented.
- Patient 1: Major trauma, cord compression symptoms. Patient 2: Stress fracture/inflammatory changes, kyphosis, neurologic risk.
Findings:
- Both patients underwent successful cervical fusion (posterior or combined) with laminectomy for Patient 1.
- Post-surgery, neurologic symptoms resolved in Patient 1, and kyphosis was corrected in Patient 2.
- Both patients resumed preoperative activities with uneventful recovery at 6 and 2-year follow-ups, respectively.
Implications:
- Highlights the extreme rarity of cervical pseudarthrosis in ankylosing spondylitis.
- Emphasizes the necessity of surgical management for this debilitating condition.
- Demonstrates favorable outcomes following surgical intervention.