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[强直性脊柱疾病中的创伤性损伤]

[Traumatic injuries in ankylosing spinal diseases].

作者信息

Schleicher Philipp, Pingel Andreas, Wengert Alexander, Neuhoff Jonathan, Kandziora Frank

机构信息

Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main gGmbH, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland.

出版信息

Unfallchirurgie (Heidelb). 2024 Nov;127(11):805-817. doi: 10.1007/s00113-024-01484-4. Epub 2024 Oct 10.

Abstract

Ankylosing spinal diseases, such as ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH), are highly important in spinal traumatology and are therefore specifically considered in the AO Spine Classification of spinal injuries. These diseases make the spine extremely susceptible to injury and also complicate the diagnosis and treatment, leading to an increased mortality. Concomitant neurological injuries are frequent. The treatment of such injuries requires great attention and careful preparation. Early and precise diagnostics using computed tomography (CT) and magnetic resonance imaging (MRI) as well as a surgical intervention are crucial for the survival and the quality of life of patients. The treatment is carried out surgically as conservative treatment often leads to high complication rates. In postoperative care special attention must be paid to cardiopulmonary complications.

摘要

强直性脊柱疾病,如强直性脊柱炎(AS)和弥漫性特发性骨肥厚(DISH),在脊柱创伤学中非常重要,因此在AO脊柱损伤分类中被专门考虑。这些疾病使脊柱极易受伤,也使诊断和治疗复杂化,导致死亡率增加。合并神经损伤很常见。此类损伤的治疗需要高度重视和精心准备。使用计算机断层扫描(CT)和磁共振成像(MRI)进行早期精确诊断以及手术干预对于患者的生存和生活质量至关重要。由于保守治疗往往导致高并发症发生率,因此采用手术治疗。术后护理必须特别注意心肺并发症。

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