Cervical ankylosis with acute spinal cord injury
| Autor: | Cheshire Je, John S Young, John M. Vivian, Pierce Ja |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurological function Ankylosis Management programme Fractures Bone Immobilization Cervical ankylosis medicine Humans Spinal Cord Injuries Aged Ankylosing spondylitis business.industry Mortality rate General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Neurology Anesthesia Acute spinal cord injury Cervical Vertebrae Female Neurology (clinical) business Cervical vertebrae |
| Zdroj: | Paraplegia. 15(2) |
| ISSN: | 0031-1758 |
| Popis: | Twenty-three cases of acute spinal cord injury in persons with cervical ankylosis are presented. Certain characteristics of major sub-groups are described: ankylosing spondylitis (N = 8), degenerative spondylosis (N = 9) and congenital fusion (congenital non-segmentation) (N = 6). The ankylosing spondylitic group presented a grim prognosis for survival (death rate 50 per cent within 60 days) and for loss of neurological function. Five out of eight cases had permanent neurological loss subsequent to their injuries. Both the ankylosing spondylitic and degenerative spondylotic groups presented problems in diagnosis and medical management. The basic principle is immobilisation of the fracture and mobilisation of the patient. The halo is the technique of choice for fracture immobilisation. An integrated intensive respiratory management programme is essential. Patients with ankylosed spines, particularly those with ankylosing spondylitis, should be educated in simple measures to prevent fracture of their spines. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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