Your browser doesn't support javascript.
loading
Hyperextension-distraction fractures in ankylosing and spondylotic spines: injury profile and treatment results.
Cirillo T, Juan Ignacio; Gimbernat R, Marcos; Farías M, Ignacio; Hernández Vargas, Gabriel; Urzúa B, Alejandro; Ballesteros P, José Vicente.
Afiliação
  • Cirillo T JI; Department of Orthopedics - Division of Spine Surgery, Hospital del Trabajador, Santiago, Chile.
  • Gimbernat R M; Clínica Universidad de los Andes, Santiago, Chile.
  • Farías M I; Department of Orthopedics - Division of Spine Surgery, Hospital del Trabajador, Santiago, Chile.
  • Hernández Vargas G; Department of Orthopedics - Spine Surgery, AOSpine Center Chile - Hospital del Trabajador, Santiago, Chile.
  • Urzúa B A; Department of Orthopedics - Spine Surgery, AOSpine Center Chile - Hospital del Trabajador, Santiago, Chile. ghernan.md@gmail.com.
  • Ballesteros P JV; Department of Orthopedics - Division of Spine Surgery, Hospital del Trabajador, Santiago, Chile.
Int Orthop ; 46(4): 889-895, 2022 04.
Article em En | MEDLINE | ID: mdl-35059771
STUDY DESIGN: Case series study. PURPOSE: To describe demographic metrics, and clinical and radiographical outcomes of surgical treatment in patients with ankylosed spine (ASP) such as diffuse idiopathic skeletal hyperostosis (DISH) or ankylosing spondylitis (AS) and non-ankylosed spines (NAS) suffering from hyperextension-distraction spine fractures. METHODS: Patients diagnosed with hyperextension-distraction fractures between 2012 and 2020 were identified. A retrospective analysis of clinical and surgical data was performed. Similarities between patients with ASP and NAS were evaluated by Fisher's exact test. RESULTS: Of the 22 patients, 13 had ASP (10 patients with DISH, 3 AS) and nine NAS. Most of these injuries involved the thoracolumbar spine (45.4%). All patients with NAS presented some sign of spondylosis: facet joint degeneration, intervertebral osteochondrosis, and anterolateral osteophytes. None of the patients with NAS and 30.7% with ASP suffered low-energy mechanisms (p = .11). All the patients with NAS and 61% of the patients with ASP had associated injuries (p = .04). On average, the instrumented levels were four (range, 2-6), achieving a fusion rate of 94.7% in all groups. Most of the ASP and NAS presented post-operative complications respectively (p = .65). CONCLUSION: Hyperextension-distraction spine fractures are not unique in ASP. In patients with spondylosis and high-energy accidents, we should suspect those fractures and rule out associated injuries, fractures in other vertebral segments, and acute spinal cord injury. The four-level instrumentation achieved an effective fusion rate in all patients.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Espondilite Anquilosante / Fraturas da Coluna Vertebral / Hiperostose Esquelética Difusa Idiopática / Fraturas Ósseas / Espondilose Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Int Orthop Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Chile País de publicação: Alemanha
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Espondilite Anquilosante / Fraturas da Coluna Vertebral / Hiperostose Esquelética Difusa Idiopática / Fraturas Ósseas / Espondilose Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Int Orthop Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Chile País de publicação: Alemanha