| Autor: |
McCarty, Scott, Bruckner, Jacob J., Camacho, Jael E., Jauregui, Julio J., Thomson, Alexandra E., Ye, Ivan, Cavanaugh, Daniel L., Koh, Eugene Y., Ludwig, Steven C., Gelb, Daniel E. |
| Předmět: |
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| Zdroj: |
Global Spine Journal; Sep2023, Vol. 13 Issue 7, p1821-1828, 8p |
| Abstrakt: |
Study Design: Retrospective cohort study. Objectives: This study aims to analyze outcomes and complications of patients with thoracic and lumbar fractures in the setting of ankylosing spinal disorders (ASD) treated with minimally invasive surgery (MIS). Methods: The operative logs from 2012 to 2019 from one academic, Level I trauma center were reviewed for cases of thoracic and lumbar spinal fractures in patients with ASD treated with a MIS approach. Variables were compared between patients with ankylosing spondylitis (AS), diffuse idiopathic skeletal hyperostosis (DISH), and advanced spondylosis. Results: A total of 48 patients with ASD and concomitant thoracic or lumbar spinal fracture managed with an MIS approach were identified. A total of 11 patients were identified with AS, 21 with DISH, and 16 with advanced spondylosis. A total of 27 (56.3%) patients experienced complications. Complications differed between groups; DISH patients experienced a greater number of post-operative complications compared to AS and advanced spondylosis patients (P =.009). There was no significant difference in length of surgery, estimated blood loss, length of stay, readmission, and reoperation rates between AS and DISH patients. There were 3 mortalities unrelated to the surgery. Conclusion: Percutaneous stabilization of patients with ankylosing spinal disorder fractures remains a viable management method. Operative characteristics were similar between AS, DISH, and advanced spondylosis patients; however, DISH patients experienced a greater number of post-operative complications. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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