SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000100074 |
Resumo: | ABSTRACT Objective We aim to identify retrospectively surgically treated patients with an ankylosed spine who sustained a vertebral fracture. Our goal is to evaluate the main outcomes and complications. Methods We selected patients through the database of surgical interventions in the setting of fractures of an ankylosed spine segment between January 1st 2008 and June 30th 2018. We collected data from digital medical records. The parameters analyzed include hospital length of stay, Intensive Care Unit (ICU) admission, perioperative and postoperative complications as well as neurological evolution. Results Fractures occurred in 14 patients with ankylosing spondylitis (82%) and 3 patients with diffuse idiopathic skeletal hyperostosis (18%). All patients were male and the mean age was 69 years. Fourteen fractures occurred after minor trauma (83%), of which 11 were due to falls from standing height or lower (65%). The cervical spine represents the majority of the levels involved (65%). Seven patients were admitted to the ICU (41%) and 11 suffered neurological damage. There was improvement of neurological status in less than 50% and there were high percentages of post-operative complications. Conclusion Patients with ankylosed spine diseases are at higher risk for vertebral fracture, even after minor trauma, and these are located predominantly in the cervical spine. The surgical treatment of these conditions is effective as it allows improvement of the patient’s neurological status. However, they still present higher morbidity and mortality, as well as increased post-op complications. Prevention of falls may drastically change patients’ outcome, neurological function and independence in activities of daily living. Level of evidence IV; A case series therapeutic study. |
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SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINESpondylitis, AnkylosingHyperostosis, Diffuse Idiopathic SkeletalSpineSpinal FracturesABSTRACT Objective We aim to identify retrospectively surgically treated patients with an ankylosed spine who sustained a vertebral fracture. Our goal is to evaluate the main outcomes and complications. Methods We selected patients through the database of surgical interventions in the setting of fractures of an ankylosed spine segment between January 1st 2008 and June 30th 2018. We collected data from digital medical records. The parameters analyzed include hospital length of stay, Intensive Care Unit (ICU) admission, perioperative and postoperative complications as well as neurological evolution. Results Fractures occurred in 14 patients with ankylosing spondylitis (82%) and 3 patients with diffuse idiopathic skeletal hyperostosis (18%). All patients were male and the mean age was 69 years. Fourteen fractures occurred after minor trauma (83%), of which 11 were due to falls from standing height or lower (65%). The cervical spine represents the majority of the levels involved (65%). Seven patients were admitted to the ICU (41%) and 11 suffered neurological damage. There was improvement of neurological status in less than 50% and there were high percentages of post-operative complications. Conclusion Patients with ankylosed spine diseases are at higher risk for vertebral fracture, even after minor trauma, and these are located predominantly in the cervical spine. The surgical treatment of these conditions is effective as it allows improvement of the patient’s neurological status. However, they still present higher morbidity and mortality, as well as increased post-op complications. Prevention of falls may drastically change patients’ outcome, neurological function and independence in activities of daily living. Level of evidence IV; A case series therapeutic study.Sociedade Brasileira de Coluna2020-03-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000100074Coluna/Columna v.19 n.1 2020reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120201901224168info:eu-repo/semantics/openAccessSILVA,MARTA ALEXANDRA CERQUEIRALINHARES,DANIELA VILAS BOAS ROSASILVA,JOÃO DUARTE MAGALHÃES COSTA ESILVA,MANUEL EDUARDO DA CRUZ RIBEIRO DANEVES,NUNO SILVA DE MORAISeng2020-03-11T00:00:00Zoai:scielo:S1808-18512020000100074Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2020-03-11T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE |
title |
SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE |
spellingShingle |
SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE SILVA,MARTA ALEXANDRA CERQUEIRA Spondylitis, Ankylosing Hyperostosis, Diffuse Idiopathic Skeletal Spine Spinal Fractures |
title_short |
SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE |
title_full |
SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE |
title_fullStr |
SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE |
title_full_unstemmed |
SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE |
title_sort |
SURGICAL TREATMENT OF FRACTURES OF THE ANKYLOSED SPINE |
author |
SILVA,MARTA ALEXANDRA CERQUEIRA |
author_facet |
SILVA,MARTA ALEXANDRA CERQUEIRA LINHARES,DANIELA VILAS BOAS ROSA SILVA,JOÃO DUARTE MAGALHÃES COSTA E SILVA,MANUEL EDUARDO DA CRUZ RIBEIRO DA NEVES,NUNO SILVA DE MORAIS |
author_role |
author |
author2 |
LINHARES,DANIELA VILAS BOAS ROSA SILVA,JOÃO DUARTE MAGALHÃES COSTA E SILVA,MANUEL EDUARDO DA CRUZ RIBEIRO DA NEVES,NUNO SILVA DE MORAIS |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
SILVA,MARTA ALEXANDRA CERQUEIRA LINHARES,DANIELA VILAS BOAS ROSA SILVA,JOÃO DUARTE MAGALHÃES COSTA E SILVA,MANUEL EDUARDO DA CRUZ RIBEIRO DA NEVES,NUNO SILVA DE MORAIS |
dc.subject.por.fl_str_mv |
Spondylitis, Ankylosing Hyperostosis, Diffuse Idiopathic Skeletal Spine Spinal Fractures |
topic |
Spondylitis, Ankylosing Hyperostosis, Diffuse Idiopathic Skeletal Spine Spinal Fractures |
description |
ABSTRACT Objective We aim to identify retrospectively surgically treated patients with an ankylosed spine who sustained a vertebral fracture. Our goal is to evaluate the main outcomes and complications. Methods We selected patients through the database of surgical interventions in the setting of fractures of an ankylosed spine segment between January 1st 2008 and June 30th 2018. We collected data from digital medical records. The parameters analyzed include hospital length of stay, Intensive Care Unit (ICU) admission, perioperative and postoperative complications as well as neurological evolution. Results Fractures occurred in 14 patients with ankylosing spondylitis (82%) and 3 patients with diffuse idiopathic skeletal hyperostosis (18%). All patients were male and the mean age was 69 years. Fourteen fractures occurred after minor trauma (83%), of which 11 were due to falls from standing height or lower (65%). The cervical spine represents the majority of the levels involved (65%). Seven patients were admitted to the ICU (41%) and 11 suffered neurological damage. There was improvement of neurological status in less than 50% and there were high percentages of post-operative complications. Conclusion Patients with ankylosed spine diseases are at higher risk for vertebral fracture, even after minor trauma, and these are located predominantly in the cervical spine. The surgical treatment of these conditions is effective as it allows improvement of the patient’s neurological status. However, they still present higher morbidity and mortality, as well as increased post-op complications. Prevention of falls may drastically change patients’ outcome, neurological function and independence in activities of daily living. Level of evidence IV; A case series therapeutic study. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000100074 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000100074 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120201901224168 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.19 n.1 2020 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
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1752126616355471360 |