Spine Fractures of Patients with Ankylosing Spondylitis and Diffuse Idiopathic Skeletal Hyperostosis: Fracture Severity and Injury-Related Mortality at a Level I Trauma Center

Chen Stephen Ryan; Munsch Maria Amelia; Chen Joseph; Couch Brandon Keith; Wawrose Richard Alan; Oyekan Anthony Abimbade; Adjei Joshua; Donaldson William F.; Lee Joon Yung; Shaw Jeremy DeWitt

doi:10.31616/asj.2022.0155

추천

검색

자료유형: 학술저널

저자정보: Chen Stephen Ryan (University of Pittsburgh Medical Center Pittsburgh PA USA) Munsch Maria Amelia (University of Pittsburgh Medical Center Pittsburgh PA USA) Chen Joseph (University of Pittsburgh Medical Center Pittsburgh PA USA) Couch Brandon Keith (University of Pittsburgh Medical Center Pittsburgh PA USA) Wawrose Richard Alan (University of Pittsburgh Medical Center Pittsburgh PA USA) Oyekan Anthony Abimbade (University of Pittsburgh Medical Center Pittsburgh PA USA) Adjei Joshua (University of Pittsburgh Medical Center Pittsburgh PA USA) Donaldson William F. (University of Pittsburgh Medical Center Pittsburgh PA USA) Lee Joon Yung (University of Pittsburgh Medical Center Pittsburgh PA USA) Shaw Jeremy DeWitt (University of Pittsburgh Medical Center Pittsburgh PA USA)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.17 No.3

발행연도: 2023.6

수록면: 549 - 558 (10page)

DOI: 10.31616/asj.2022.0155

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Study Design: Retrospective review of prospectively collected cohort.Purpose: To identify differences in treatment and mortality of spine fractures in patients with ankylosing conditions of the spine. Overview of Literature: Ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) are the two most common etiologies of ankylosing spinal disorder (ASD). However, studies on the treatment and outcomes of spine fractures in AS and DISH patients remain few.Methods: Patients presenting with a spine fracture were diagnosed with AS or DISH at a single tertiary care center between 2010 and 2019. We excluded those who lacked cross-sectional imaging or fractures occurring at spinal segments affected by ankylosis, as well as polytraumatized patients. Patient demographics, injury mechanism, fracture level, neurologic status, treatment, and 1-year mortality were recorded. Computed tomography imaging was reviewed by two independent readers and graded according to the indicated AO Spine Injury Classification System. Differences in fracture severity, treatment method, and mortality were examined using Student t -tests, chi-square tests, and two-proportion Z-tests with significance set to p <0.05.Results: We identified 167 patients with spine fracture diagnosed with AS or DISH. Patients with AS had more severe fractures and more commonly had surgery than patients with DISH (p <0.001). Despite these differences, 1-year mortality did not significantly differ between AS and DISH patients (p =0.14).Conclusions: Although patients with AS suffered more severe fractures compared to DISH and more frequently underwent surgery for these injuries, outcomes and 1-year mortality did not differ significantly between the two groups. For patients with ASDs and fractures, outcomes appear similar regardless of treatment modality. Consequently, there may be an opportunity for critical reappraisal of operative indications in ASD and a larger role for nonoperative management in these challenging patients.

#Diffuse idiopathic skeletal hyperostosis #Spinal fractures #Spondylitis #Ankylosing #Treatment outcome

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!