PDF(Pubmed)
Abstract：
UNASSIGNED: Ankylosing spondylitis (AS), an autoimmune disease, often leads to lower cervical spine fractures, with the potential for severe spinal nerve damage even from low-energy injuries. The optimal treatment approach remains debated.
UNASSIGNED: A retrospective study involved 17 AS patients with lower cervical spine fractures who received anterior cervical fixation. Most presented cervicothoracic or thoracolumbar kyphosis, with 11 exhibiting neurological deficits. Patient characteristics, clinical data, visual analog scale (VAS), complications, and nerve recovery were analyzed.
UNASSIGNED: No postoperative neurological deterioration occurred. All cases experienced complete fusion of fractures during the follow-up period. Preoperative VAS significantly decreased at 3 days and 3 months post-surgery. Of the 11 patients with preoperative neurological deficits, approximately 54.5% showed improvement post-surgery. No complications were reported, such as esophageal fistula, wound infection, or fixation failure.
UNASSIGNED: Anterior internal fixation is a possible treatment for AS-related lower cervical fractures. This approach ensures satisfactory spinal stability and neurological recovery with proper cranial traction and external fixation post-surgery. Our findings demonstrate that this surgical method is safe and effective.
UNASSIGNED: A retrospective study involved 17 AS patients with lower cervical spine fractures who received anterior cervical fixation. Most presented cervicothoracic or thoracolumbar kyphosis, with 11 exhibiting neurological deficits. Patient characteristics, clinical data, visual analog scale (VAS), complications, and nerve recovery were analyzed.
UNASSIGNED: No postoperative neurological deterioration occurred. All cases experienced complete fusion of fractures during the follow-up period. Preoperative VAS significantly decreased at 3 days and 3 months post-surgery. Of the 11 patients with preoperative neurological deficits, approximately 54.5% showed improvement post-surgery. No complications were reported, such as esophageal fistula, wound infection, or fixation failure.
UNASSIGNED: Anterior internal fixation is a possible treatment for AS-related lower cervical fractures. This approach ensures satisfactory spinal stability and neurological recovery with proper cranial traction and external fixation post-surgery. Our findings demonstrate that this surgical method is safe and effective.
摘要：
■强直性脊柱炎（AS），一种自身免疫性疾病,常导致下颈椎骨折,即使是低能量损伤，也有可能导致严重的脊神经损伤。最佳治疗方法仍存在争议。
■一项回顾性研究涉及17例接受颈椎前路固定术的下颈椎骨折AS患者。大多数表现为颈胸或胸腰椎后凸畸形，11人表现出神经缺陷。患者特征,临床资料,视觉模拟量表(VAS)，并发症,并对神经恢复情况进行分析。
■没有发生术后神经功能恶化。所有病例在随访期间骨折完全融合。术前VAS在术后3天和3个月时显著降低。在11例术前神经功能缺损的患者中，约54.5%显示术后改善.无并发症报告，比如食管瘘,伤口感染,或固定失败。
■前路内固定是AS相关下颈椎骨折的可能治疗方法。这种方法通过适当的颅骨牵引和手术后的外固定来确保令人满意的脊柱稳定性和神经系统恢复。我们的发现表明这种手术方法是安全有效的。
■一项回顾性研究涉及17例接受颈椎前路固定术的下颈椎骨折AS患者。大多数表现为颈胸或胸腰椎后凸畸形，11人表现出神经缺陷。患者特征,临床资料,视觉模拟量表(VAS)，并发症,并对神经恢复情况进行分析。
■没有发生术后神经功能恶化。所有病例在随访期间骨折完全融合。术前VAS在术后3天和3个月时显著降低。在11例术前神经功能缺损的患者中，约54.5%显示术后改善.无并发症报告，比如食管瘘,伤口感染,或固定失败。
■前路内固定是AS相关下颈椎骨折的可能治疗方法。这种方法通过适当的颅骨牵引和手术后的外固定来确保令人满意的脊柱稳定性和神经系统恢复。我们的发现表明这种手术方法是安全有效的。
