Options for surgical treatment of cervical fractures in patients with spondylotic spine: a case series and review of the literature

被引：2

作者：

Alves P.L. ^{[1
]}

Martins D.E. ^{[1
]}

Ueta R.H.S. ^{[1
]}

Del Curto D. ^{[1
]}

Wajchenberg M. ^{[1
]}

Puertas E.B. ^{[1
]}

机构：

[1] Department of Orthopedics and Traumatology, Universidade Federal de Sao Paulo, Rua Borges Lagoa, 783, 5th floor, São Paulo, 04038-032, SP

来源：

Journal of Medical Case Reports | / 9卷 / 1期

关键词：

Ankylosing; Cervical fractures; Dislocations; Spondylitis; Surgical procedures;

D O I：

10.1186/s13256-015-0720-7

中图分类号：

学科分类号：

摘要：

Introduction: The surgical treatment of unstable cervical fractures is challenging for spinal surgeons. Unstable cervical fractures associated with spondyloarthropathy and deformities that alter function, form and stability present a greater challenge. Having multiple options to manage this difficult situation is important to all spine surgeons and the results of each case depends on the singular characteristics of patients. The purpose of this case report is to describe the main forms of presentation of unstable cervical subaxial fractures in the spondylotic spine and their surgical treatments. Case presentation: We present three cases of Caucasian men aged 30, 53 and 59 years with spondylosis with unstable cervical fractures and alternatives choices for surgical treatment, and a review of the literature. Each patient underwent a different surgical procedure of the cervical subaxial spine using an isolated anterior, posterior or combined approach demonstrating good outcomes in all cases. Conclusions: The treatment of subaxial cervical spinal fractures is complex, and when these fractures are associated with the deformities caused by spondyloarthropathies they can be thought provoking for spine surgeons such as orthopedists or neurosurgeons. The isolated anterior, posterior and combined approaches are safe and effective for treating these pathologies. © 2015 Alves et al.

引用

共 15 条

[1] Detwiler K.N., Loftus C.M., Godersky J.C., Menezes A.H., Management of cervical spine injuries in patients with ankylosing spondylitis, J Neurosurg., 72, pp. 210-215, (1990)
[2] Olerud C., Frost A., Bring J., Spinal fractures in patients with ankylosing spondylitis, Eur Spine J., 5, pp. 51-55, (1996)
[3] Westerveld L.A., Verlaan J.J., Oner F.C., Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications, Eur Spine J., 18, pp. 145-156, (2009)
[4] Einsiedel T., Schmelz A., Markus A.M., Injuries of the cervical spine in patients with ankylosing spondylitis: experience at two trauma centers, J Neurosurg Spine, 5, 1, pp. 33-45, (2006)
[5] Schneider P.S., Bouchard J., Moghadam K., Swamy G., Case report acute cervical fractures in ankylosing spondylitis: an opportunity to correct preexisting deformity, Spine., 35, pp. 248-252, (2010)
[6] Graham B., Van Peteghem P.K., Fractures of the spine in ankylosing spondylitis. Diagnosis, treatment, and complications, Spine, 14, pp. 803-807, (1989)
[7] Anwar F., Al-Khayer A., Delayed presentation and diagnosis of cervical spine injuries in long-standing ankylosing spondylitis, Eur Spine J, 20, 3, pp. 403-407, (2011)
[8] Parizel P.M., Van Der Zijden T., Gaudino S., Spaepen M., Voormolen M.H., Venstermans C., Et al., Trauma of the spine and spinal cord: imaging strategies, Eur Spine J., 19, pp. 8-17, (2010)
[9] Ripa D.R., Kowall M.G., Meyer P.R., Rusin J.J., Series of ninety-two traumatic cervical spine injuries stabilized with anterior ASIF plate fusion technique, Spine., 16, pp. 46-55, (1991)
[10] Aebi M., Zuber K., Marchesi D., Treatment of cervical spine injuries with anterior plating. Indications, techniques, and results, Spine, 16, pp. 38-45, (1991)

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