Autor: |
Tse MF; Division of Neurosurgery, Department of Surgery, Far Eastern Memorial Hospital, Banciao, Taiwan.; Institute of Biomedical Engineering, College of Engineering and College of Medicine, National Taiwan University, Taipei, Taiwan., Tsai YH; Division of Neurosurgery, Department of Surgery, Far Eastern Memorial Hospital, Banciao, Taiwan., Yang LH; Division of Neurosurgery, Department of Surgery, Far Eastern Memorial Hospital, Banciao, Taiwan., Jaw FS; Institute of Biomedical Engineering, College of Engineering and College of Medicine, National Taiwan University, Taipei, Taiwan., Lin CK; Division of Neurosurgery, Department of Surgery, Far Eastern Memorial Hospital, Banciao, Taiwan.; Institute of Biomedical Engineering, College of Engineering and College of Medicine, National Taiwan University, Taipei, Taiwan. |
Abstrakt: |
The ankylosed spine is prone to fracture even as a result of minor trauma due to its changed biomechanical properties. Fractures in ankylosing spondylitis (AS) patients are highly unstable and surgical intervention for fixation is warranted. Implant failure rates are high and combined anterior and posterior fixation is required to enhance the fixation outcome. For fusion, anterior interbody fusion or posterior bone graft fusion is often adopted. Here, we introduce a new method which combines vertebroplasty with anterior and posterior approaches to improve pain control, facilitate the long-term fixation outcome and mechanics, and decrease perioperative risks with prompt stabilization, especially in patients with spine curve deformity. Here, we present two AS cases with cervical spine fracture treated with this new method. |