Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis

被引：0
|
作者：
Saita, Kazuo [1 ]
Ooyama, Motohiko [1 ]
Endo, Minoru [1 ]
Endo, Teruaki [1 ]
Iijima, Yuuki [1 ]
Ueda, Yuusuke [1 ]
机构：
[1] Jichi Med Univ Saitama Med Ctr, Dept Orthopaed Surg, Oomiya Ku, Saitama 3308503, Japan
来源：
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY | 2010年 / 20卷 / 07期
关键词：
Ankylosing spinal hyperostosis; Osteoporosis; Spinal fracture; Surgery; Instrumentation; SKELETAL HYPEROSTOSIS; SPONDYLITIS;
D O I：
10.1007/s00590-010-0612-x
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
The object of this case series was to report the unstable transverse spinal fracture in osteoporotic ankylosing spinal hyperostosis. We report eight cases from 2001 to 2008, four men and four women, aged 66-85 (Average 76.1). We could treat three cases conservatively, but in two cases the treatment was converted to surgery due to a delayed onset of paraparesis. In total, five cases were treated surgically. Surgical procedures were laminectomy with posterior instrumentation. The surgical results were recovery to walking in two, recovery to standing with aid in two, and no gain in one. A loss of reduction occurred in two cases, with ventral displacement appearing to be the cause of the poor result in one. The surgery for this situation is troublesome. We should manage the vertebral fracture in ankylosing spinal hyperostosis very carefully; keeping in mind that it might actually be unstable transverse vertebral fracture.
引用
收藏
页码：533 / 537
页数：5
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