Management of Thoracolumbar Vertebral Fractures and Dislocations in Patients with Ankylosing Conditions of the Spine.

IF 1.4 Q3 ORTHOPEDICS
Orthopedic Reviews Pub Date : 2024-03-01 eCollection Date: 2024-01-01 DOI:10.52965/001c.94279
Mohammad Daher, Anna Rezk, Makeen Baroudi, Jerzy Gregorczyk, Mariah Balmaceno Criss, Jake McDermott, Christopher L Mcdonald, Bassel G Diebo, Alan H Daniels
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引用次数: 0

Abstract

Ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) are bone-forming spinal conditions which inherently increase spine rigidity and place patients at a higher risk for thoracolumbar fractures. Due to the long lever-arm associated with their pathology, these fractures are frequently unstable and may significantly displace leading to catastrophic neurologic consequences. Operative and non-operative management are considerations in these fractures. However conservative measures including immobilization and bracing are typically reserved for non-displaced or incomplete fractures, or in patients for whom surgery poses a high risk. Thus, first line treatment is often surgery which has historically been an open posterior spinal fusion. Recent techniques such as minimally invasive surgery (MIS) and robotic surgery have shown promising lower complication rates as compared to open techniques, however these methods need to be further validated.

脊柱强直患者胸腰椎骨折和脱位的处理。
强直性脊柱炎(AS)和弥漫性特发性骨骼增生症(DISH)是一种脊柱骨质增生性疾病,本身会增加脊柱的刚性,使患者发生胸腰椎骨折的风险更高。由于其病理过程中的杠杆臂较长,这些骨折经常不稳定,并可能发生明显移位,导致灾难性的神经系统后果。手术和非手术治疗都是这些骨折的考虑因素。然而,包括固定和支具在内的保守措施通常只适用于非移位或不完全骨折,或手术风险较高的患者。因此,一线治疗通常是手术,而手术历来是开放性后路脊柱融合术。与开放式技术相比,微创手术(MIS)和机器人手术等最新技术有望降低并发症发生率,但这些方法还需要进一步验证。
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来源期刊
Orthopedic Reviews
Orthopedic Reviews ORTHOPEDICS-
CiteScore
2.70
自引率
4.80%
发文量
122
审稿时长
10 weeks
期刊介绍: Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
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