Burkus J K, Denis F
Saint Louis University Medical Center.
J Bone Joint Surg Am. 1994 Feb;76(2):237-43. doi: 10.2106/00004623-199402000-00010.
Four patients who had multisegmental ankylosis of the thoracic and lumbar spine due to diffuse idiopathic skeletal hyperostosis sustained a hyperextension fracture-dislocation. The patients had a mean age of sixty-four years (range, fifty-eight to sixty-nine years); all four patients were men. All injuries occurred between the seventh and eleventh thoracic vertebrae. All patients had intact neurological function at the time of admission to the hospital. Three patients were managed with posterior spinal arthrodesis with Cotrel-Dubousset segmental instrumentation; one patient was managed non-operatively with a molded thoracolumbosacral orthosis. At a minimum duration of follow-up of twenty-two months (mean, twenty-seven months), the three patients who had been managed operatively had healing of the fracture with anatomical alignment of the spine and without postoperative complications. The one patient who had been managed non-operatively with a brace had severe neurological deterioration and non-anatomical alignment of the spine.
四名因弥漫性特发性骨肥厚导致胸腰椎多节段强直的患者发生了过伸性骨折脱位。患者的平均年龄为64岁（范围为58至69岁）；所有四名患者均为男性。所有损伤均发生在胸7至胸11椎体之间。所有患者入院时神经功能均完好。三名患者采用Cotrel-Dubousset节段性器械进行后路脊柱融合术治疗；一名患者采用定制的胸腰骶矫形器进行非手术治疗。在至少22个月（平均27个月）的随访期内，接受手术治疗的三名患者骨折愈合，脊柱解剖复位，且无术后并发症。采用支具非手术治疗的一名患者出现严重神经功能恶化，脊柱未解剖复位。
