El Tecle Najib E, Abode-Iyamah Kingsley O, Hitchon Patrick W, Dahdaleh Nader S
Department of Neurological Surgery, Saint Louis University, St. Louis, MO, United States.
Department of Neurosurgery, University of Iowa, Iowa City, IA, United States.
Clin Neurol Neurosurg. 2015 Dec;139:177-82. doi: 10.1016/j.clineuro.2015.10.014. Epub 2015 Oct 23.
Ankylosing spondlylitis is a seronegative spondyloarthropathy that primarily affects the spinal column and sacroiliac joints. With disease progression autofusion of the spinal column takes place. This combined with the brittle bone quality make patients prone to fractures and spinal cord injury. The typical fracture pattern is extension type and involves all three columns. These fractures and injuries may involve the craniovertebral junction, the subaxial cervical spine, and the thoracolumbar spine. While at times these fractures are challenging to manage especially when they affect the elderly, there is evidence that supports long segment fixation and fusion. This article presents a narrative review on managing spinal fractures in patients with ankylosing spondylitis.
强直性脊柱炎是一种血清阴性脊柱关节病，主要影响脊柱和骶髂关节。随着疾病进展，脊柱会发生自体融合。这与骨质脆弱相结合，使患者易于发生骨折和脊髓损伤。典型的骨折类型是伸展型，累及所有三柱。这些骨折和损伤可能涉及颅颈交界区、颈椎下颈椎以及胸腰椎。虽然有时这些骨折的处理具有挑战性，尤其是在影响老年人时，但有证据支持长节段固定和融合。本文对强直性脊柱炎患者脊柱骨折的处理进行了叙述性综述。
