Heyde Christoph-E, Fakler Johannes K, Hasenboehler Erik, Stahel Philip F, John Thilo, Robinson Yohan, Tschoeke Sven K, Kayser Ralph
Department of Trauma, Orthopedics, and Reconstructive Surgery, Charité, University Medical Center, Campus Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany.
Patient Saf Surg. 2008 Jun 6;2:15. doi: 10.1186/1754-9493-2-15.
Patients with ankylosing spondylitis are at significant risk for sustaining cervical spine injuries following trauma predisposed by kyphosis, stiffness and osteoporotic bone quality of the spine. The risk of sustaining neurological deficits in this patient population is higher than average. The present review article provides an outline on the specific injury patterns in the cervical spine, diagnostic algorithms and specific treatment modalities dictated by the underlying disease in patients with ankylosing spondylitis. An emphasis is placed on the risks and complication patterns in the treatment of these rare, but challenging injuries.
强直性脊柱炎患者因脊柱后凸、僵硬和骨质疏松性骨质而在创伤后有发生颈椎损伤的显著风险。该患者群体出现神经功能缺损的风险高于平均水平。本综述文章概述了强直性脊柱炎患者颈椎的特定损伤模式、诊断算法以及由基础疾病决定的特定治疗方式。重点关注这些罕见但具有挑战性的损伤在治疗中的风险和并发症模式。
