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[强直性脊柱炎中的脊柱骨折]

[Spinal fractures in ankylosing spondylitis].

作者信息

Bernd L, Bläsius K, Lukoschek M

机构信息

Stiftung Orthopädische Universitätsklinik Heidelberg.

出版信息

Z Orthop Ihre Grenzgeb. 1992 Jan-Feb;130(1):59-63. doi: 10.1055/s-2008-1039513.

DOI:10.1055/s-2008-1039513
PMID:1532273
Abstract

In the final stage of ankylosing spondylitis the spine will be completely fixed. With loss of mobility the patients suffering of ankylosing spondylitis are susceptible to spinal fractures. Predominantly the fractures occur in the lower part of the cervical spine, caused often by minor trauma. High fatality is at a 30% rate seen as severe consequence of these fractures. Conservative and operative treatment may be used. Severe fracture dislocation and progressive neurological deficiencies are recommended to be stabilized operatively. To avoid trauma of the spine in patients with ankylosing spondylitis preventive measures seem to be possible and should be employed.

摘要

在强直性脊柱炎的终末期,脊柱将完全固定。随着活动能力的丧失,强直性脊柱炎患者易发生脊柱骨折。骨折主要发生在颈椎下部,通常由轻微创伤引起。这些骨折的严重后果是高达30%的死亡率。可采用保守治疗和手术治疗。对于严重的骨折脱位和进行性神经功能缺损,建议进行手术固定。为避免强直性脊柱炎患者发生脊柱创伤,似乎可以采取预防措施并应予以采用。

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