Single-Session Combined Anterior-Posterior Approach for Treatment of Ankylosing Spondylitis with Obvious Displaced Lower Cervical Spine Fractures and Dislocations.

Baohui Yang,Teng Lu,Haopeng Li

doi:10.1155/2017/9205834

Baohui Yang, Teng Lu + Show 1 more

Open Access

https://doi.org/10.1155/2017/9205834

Copy DOI

Abstract

For patients with AS and lower cervical spine fractures, surgical methods have mainly included the single anterior approach, single posterior approach, and combined anterior-posterior approach. However, various surgical procedures were utilized because the fractures have not been clearly classified according to presence of displacement in these previous studies. Consequently, controversies have been raised regarding the selection of the surgical procedure. This study retrospective analysis was conducted in 12 patients with AS and lower cervical spine fractures and dislocations and explored single-session combined anterior-posterior approach for the treatment of AS with obvious displaced lower cervical spine fractures and dislocations which has demonstrated advantages such as good stabilization, satisfied fracture healing, and easy postoperative cares. However, to some extent, the difficulty and risk of this approach should be considered. Attention should be paid to the prevention of perioperative complications.

Highlights

Ankylosing spondylitis (AS) is chronic nonspecific inflammatory disease, involving mainly the axial skeleton [1]
This study aimed to investigate the efficacy and complications of a single-session combined anterior-posterior approach for treating AS with obvious displaced lower cervical spine fractures and dislocations
At the end of follow-up, neurological function recovery was assessed according to the spinal cord injury classification

Summary

Introduction

Ankylosing spondylitis (AS) is chronic nonspecific inflammatory disease, involving mainly the axial skeleton [1]. Minor trauma may cause spine fracture or dislocation [2] because of decreased elasticity caused by ossification of the intervertebral disc and paravertebral ligament, decreased antishock capability, and osteoporosis [2]. Caron et al [4] described the classification of this type of fracture Their classification was not significant for surgical treatment. The surgical treatment for AS with lower cervical spine fracture has been reported in several studies [5,6,7]. Various surgical procedures were utilized because the fractures have not been clearly classified according to presence of displacement in these previous studies. This study aimed to investigate the efficacy and complications of a single-session combined anterior-posterior approach for treating AS with obvious displaced lower cervical spine fractures and dislocations

Objectives

Methods

Results

Conclusion