Zhu RuSen, Song WenYe, Hu Wei, Jiang ZeHua, Yuan JianJun, Cui ZiJian, Wan Jun, Liu Yan, Feng ShiQing, Zhang XueLi
Department of Spine Surgery, Tianjin Union Medicine Centre Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin, PR China.
Medicine (Baltimore). 2017 Nov;96(44):e8462. doi: 10.1097/MD.0000000000008462.
The aim of the study was to explore surgical strategies for effectively treating spine fractures in patients with ankylosing spondylitis (AS) and investigate the postoperative outcomes.
We retrospectively analyzed 9 patients with AS that was complicated by spine fractures, who underwent surgery at our spine and spinal cord clinic between 2005 and 2012. The surgical methods included posterior instrumentation and bone grafting, with or without decompression. Fracture healing and neurological function recovery were observed postoperatively. The average follow-up period was 45.1 months (range: 24-60).
The 9 patients included 7 men and 2 women. Eight patients were treated with long posterior fixation. One patient underwent combined long posterior fixation and anterior bone grafting. The neurological function of these patients improved significantly to varying degrees after surgery, and fracture union and segmental instability of the lumbar vertebrae were radiologically confirmed at the 1-month and 2-year follow-up intervals. Severe surgery-related complications were not observed.
Posterior instrumentation with bone grafting was a satisfying method for treating spine fractures in patients with AS.
本研究旨在探索有效治疗强直性脊柱炎（AS）患者脊柱骨折的手术策略，并调查术后结果。
我们回顾性分析了9例合并脊柱骨折的AS患者，这些患者于2005年至2012年间在我院脊柱脊髓门诊接受了手术。手术方法包括后路内固定及植骨，有或无减压。术后观察骨折愈合及神经功能恢复情况。平均随访时间为45.1个月（范围：24 - 60个月）。
9例患者中，男性7例，女性2例。8例患者接受了长节段后路固定治疗。1例患者接受了长节段后路固定联合前路植骨治疗。这些患者术后神经功能均有不同程度的显著改善，在1个月及2年的随访间隔时，影像学证实腰椎骨折愈合及节段性不稳定。未观察到严重的手术相关并发症。
后路内固定联合植骨是治疗AS患者脊柱骨折的一种令人满意的方法。
