지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 432 - 440 (9page)
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초록· 키워드
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Study Design: Retrospective cohort study. Purpose: To evaluate surgical outcomes and complications of cervical spine fractures in ankylosing spondylitis (CAS) patients who were treated using either the posterior (P) or combined approach (C). Overview of Literature: Ankylosing spondylitis typically causes progressive spinal stiffness that makes patients susceptible to spinal fractures. CAS is a highly unstable condition. There is contradictory evidence regarding which treatment option, the posterior or the combined approach, yields superior clinical results. Methods: A single institution database was reviewed for data in the period 1999 to 2015. All CAS patients who underwent posterior or combined instrumented fusion were enrolled. We analyzed demographic data, radiographic results, perioperative complications, and postoperative results. Results: Thirty-three patients were enrolled (23 in the P group, 10 in the C group). All patients presented with neck pain after a fall. In the P group, mean operative time was 161.1 minutes (100–327 minutes), and mean estimated blood loss (EBL) was 306.4 mL (50–750 mL). In the C group, 90% of patients underwent a staged procedure, typically with posterior surgery first. Mean EBL was 124 mL (25–337 mL). For posterior surgery, mean EBL was 458.3 mL (400–550 mL). EBL of posterior surgery in the C group was higher but this difference was not significant (p=0.16). Postoperative complication rate was higher in the C group but this difference was not significant (50% vs. 17.4%, p=0.09). In the follow-up period, no late reoperations were performed. Patients who underwent C surgery had a higher rate of neurological improvement but this difference was not significant (p=0.57). Conclusions: Both P and C provided good clinical results. P surgery had lower EBL, lower postoperative complication rate, and shorter length of stay than C surgery; none of these differences were statistically significant.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Altenbernd J / 2009 / Vertebral fractures in patients with ankylosing spondylitis : a retrospective analysis of 66 patients / Rofo 181:45~53
Caron T / 2010 / Spine fractures in patients with ankylosing spinal disorders / Spine 35:E458~E464
Heineck J / 2007 / Ventral fusion of a fracture of the cervical spine in ankylosing spondylitis and struma permagna / Unfallchirurg 110:571~575
Kouyoumdjian P / 2012 / Fracture of the lower cervical spine in patients with ankylosing spondylitis : retrospective study of 19 cases / Orthop Traumatol Surg Res 98:543~551
Taggard DA / 2000 / Management of cervical spinal fractures in ankylosing spondylitis with posterior fixation / Spine 25:2035~2039
Caron T / 2010 / Spine fractures in patients with ankylosing spinal disorders / Spine 35:E458~E464
Heineck J / 2007 / Ventral fusion of a fracture of the cervical spine in ankylosing spondylitis and struma permagna / Unfallchirurg 110:571~575
Kouyoumdjian P / 2012 / Fracture of the lower cervical spine in patients with ankylosing spondylitis : retrospective study of 19 cases / Orthop Traumatol Surg Res 98:543~551
Taggard DA / 2000 / Management of cervical spinal fractures in ankylosing spondylitis with posterior fixation / Spine 25:2035~2039
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