Spinal cord injury and spinal fracture in patients with ankylosing spondylitis

Autor: Po-Hsun Tu, Zhuo-Hao Liu, Mun-Chun Yeap, Yu-Tse Liu, Ying-Ching Li, Yin-Cheng Huang, Tzu-Min Lin, Ching-Chang Chen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Emergency Medicine, Vol 22, Iss 1, Pp 1-9 (2022)
Druh dokumentu: article
ISSN: 1471-227X
DOI: 10.1186/s12873-022-00635-3
Popis: Abstract Background Spinal cord injury (SCI) and spinal fracture are major complications in patients with ankylosing spondylitis (AS) who sustain spinal trauma. The purpose of this study was to investigate the incidence, predictors, and sequelae of spinal trauma in patients with AS. Methods This retrospective study included patients with AS who were admitted for spinal trauma between January 1, 2006, and June 30, 2016. The study compared clinical outcomes of patients between group 1: SCI alone, group 2: spinal fracture alone (no SCI), and group 3: both SCI and spinal fracture. Results Of the 6285 patients with AS admitted during the retrospective study period, only 105 suffered from spinal trauma and were enrolled in the study. Case number in group 1, 2, and 3 was 11(10.48%), 45(42.85%), and 49(46.67%), respectively. Among the patients with spinal fractures, 52.1% had SCI. Bamboo spine was significantly more prevalent in the fracture group than in the nonfracture group (78.7% vs. 36.4%; P = 0.006). Patients with SCI had more instances of subluxation or dislocation (48.3% vs. 8.9%; P
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