Spinal fractures in patients with ankylosing spondylitis: A case report and literature review.

Autor: Iunes EA; Department of Neurosurgery, UNIFESP, Campinas, São Paulo, Brazil., Barletta E; Department of Medicine, Pontifical Catholic University of Campinas, Campinas, São Paulo, Brazil., Belsuzarri TAB; Department of Neurosurgery, Pontifical Catholic University of Campinas, Campinas, São Paulo, Brazil., Araujo DP; Department of Neurosurgery, UNIFESP, Campinas, São Paulo, Brazil., Sparapani F; Department of Neurosurgery, UNIFESP, Campinas, São Paulo, Brazil., Onishi F; Department of Neurosurgery, UNIFESP, Campinas, São Paulo, Brazil., Cavalheiro S; Department of Neurosurgery, UNIFESP, Campinas, São Paulo, Brazil., Salati T; Department of Neurosurgery, UNIFESP, Campinas, São Paulo, Brazil., Benites VM; Department of Neurosurgery, UNIFESP, Campinas, São Paulo, Brazil., Joaquim A; Department of Neurosurgery, UNICAMP, Cidade Universitária Zeferino Vaz - Barão Geraldo, Campinas, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Surgical neurology international [Surg Neurol Int] 2020 Dec 04; Vol. 11, pp. 417. Date of Electronic Publication: 2020 Dec 04 (Print Publication: 2020).
DOI: 10.25259/SNI_728_2020
Abstrakt: Background: Severe ankylosing spondylitis (AS) affects the entire spine, increasing the risk of vertebral fractures. There are several fusion procedures used (e.g., anterior, posterior, or combined 360° procedures) to stabilize these fractures.
Case Description: A 45-year-old male with a 33-year diagnosis of AS presented with a progressive quadriparesis of 6 months' duration. Previously, he had surgery on both hips. The medical report documented degenerative spondylolisthesis at the C5-C6 level along with syndesmophytes a herniated disc and stenosis. Following a circumferential decompression/fusion without complications, the patient's symptoms resolved.
Conclusion: For patients presenting with cervical fractures and AS, circumferential surgical decompression/ fusion may result in good outcomes.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2020 Surgical Neurology International.)
Databáze: MEDLINE