Lee Jung Keun, Park Ki Seok, Park Moon Sun, Kim Seong Min, Chung Seung Young, Lee Do Sung
Department of Neurosurgery, Eulji University College of Medicine, Taejon, Korea.
Korean J Spine. 2013 Sep;10(3):195-9. doi: 10.14245/kjs.2013.10.3.195. Epub 2013 Sep 30.
Ankylosing spondylitis (AS) is a chronic systemic and inflammatory rheumatic disease with a variable course of the axial skeleton. Spinal involvement may accompany ossification of the ligaments, intervertebral disc, end-plates and apophyseal structures, and seems to be "bamboo spine". Because of these natures of the spine in AS, a spinal fracture can be occurred with minor trauma or spontaneously. The fracture of the AS can cause neurological complications extremely high, so special attention to prevent neurological deterioration. Operative management of the injured spine with AS is difficult, and associated with a high complication rate. Extreme care must be taken for surgery to prevent secondary neurological deterioration.
强直性脊柱炎（AS）是一种慢性全身性炎性风湿性疾病，其累及中轴骨骼的病程多变。脊柱受累可能伴有韧带、椎间盘、终板和骨突结构的骨化，呈现出“竹节样脊柱”。由于AS患者脊柱的这些特性，轻微外伤或自发情况下都可能发生脊柱骨折。AS患者的骨折极易引发神经并发症，因此要特别注意预防神经功能恶化。AS患者受伤脊柱的手术治疗难度大，且并发症发生率高。手术时必须格外小心，以防继发神经功能恶化。
