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强直性脊柱炎合并颈椎脱位:一例报告。

Cervical spine dislocation on ankylosing spondylitis: A case report.

作者信息

Mesbahi Tarik, Makhchoune Marouane, Mouine Reda, Rafiq Abederrahmane, Lakhdar Abdelhakim

机构信息

Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco.

出版信息

Ann Med Surg (Lond). 2021 Sep 4;69:102766. doi: 10.1016/j.amsu.2021.102766. eCollection 2021 Sep.

Abstract

Treatment of cervical spine fracture in patients with ankylosing spondylitis is difficult. Biomechanical changes related to ossified ankylosing spondylitis spine make cervical spine fractures highly unstable. They cover the entire width of the spine inducing. multidirectional instability and the risk of neurological injuries. Treatment is more difficult that in the nonossified spine. Different treatments have been proposed including anterior stabilization, posterior stabilization, or both. This paper present a case of an 55-year-old man followed for ankylosing spondylitis admitted for fracture dislocation of c5-c6 following a minimal trauma of which it was operated 4 times in order to obtain a satisfactory reduction and stabilization from which we drew the importance of the osteosynthesis by combined way.

摘要

强直性脊柱炎患者颈椎骨折的治疗颇具难度。与强直性脊柱炎脊柱骨化相关的生物力学改变致使颈椎骨折极不稳定。它们覆盖脊柱的整个宽度,引发多方向不稳定及神经损伤风险。其治疗比非骨化脊柱的治疗更为困难。已提出多种不同治疗方法,包括前路固定、后路固定或两者联合。本文介绍了一例55岁强直性脊柱炎男性患者,因轻微外伤致C5 - C6骨折脱位入院,为实现满意的复位和固定,该患者接受了4次手术,从中我们得出联合方式进行骨固定的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8932/8429921/ee4c57f650cb/gr1.jpg

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