Clinical outcomes following spinal fracture in patients with ankylosing spondylitis
| Autor: | Seamus Morris, M. Nugent, M J Berney |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Axial skeleton Radiography Population 03 medical and health sciences 0302 clinical medicine Spinal fracture Deformity medicine Humans In patient Spondylitis Ankylosing education Spinal cord injury Aged Retrospective Studies 030203 arthritis & rheumatology Aged 80 and over Ankylosing spondylitis education.field_of_study business.industry General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Spinal Fractures Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Irish journal of medical science. 186(3) |
| ISSN: | 1863-4362 |
| Popis: | Ankylosing spondylitis is a seronegative rheumatoid condition mainly affecting the axial skeleton. It leads to progressive deformity and stiffening of the spine with an increased risk of vertebral fractures and significant neurological deficits compared to the general population. This study aimed to evaluate the outcomes of patients with ankylosing spondylitis who sustained acute vertebral fractures over a 10-year period. A retrospective review of patient records and radiographic images was performed. Mechanism of injury, fracture type, timing of diagnosis, neurological deficit, management and complications were assessed. Twenty-four patients were included. Most (23) sustained low energy injuries. Five (20%) patients had a delayed diagnosis over 24 h after the time of injury. Twelve (50%) of patients had a neurological deficit at the time of admission and most did not recover. Eighteen (75%) patients underwent surgical stabilisation. There were 19 complications (in 15 patients) following surgery. Patients with ankylosing spondylitis are at risk of spinal fracture and associated spinal cord injury after relatively minor trauma. Delayed diagnosis places the patient at risk of neurological compromise, and thus a high index of suspicion is needed when assessing this patient group. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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