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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
An, Seong-Bae (Department of Neurosurgery, The Spine and Spinal Cord Institute, Yonsei University College of Medicine, Gangnam Severance Hospital) Kim, Keung-Nyun (Department of Neurosurgery, The Spine and Spinal Cord Institute, Yonsei University College of Medicine, Severance Hospital) Chin, Dong-Kyu (Department of Neurosurgery, The Spine and Spinal Cord Institute, Yonsei University College of Medicine, Gangnam Severance Hospital) Kim, Keun-Su (Department of Neurosurgery, The Spine and Spinal Cord Institute, Yonsei University College of Medicine, Gangnam Severance Hospital) Cho, Yong-Eun (Department of Neurosurgery, The Spine and Spinal Cord Institute, Yonsei University College of Medicine, Gangnam Severance Hospital) Kuh, Sung-Uk (Department of Neurosurgery, The Spine and Spinal Cord Institute, Yonsei University College of Medicine, Gangnam Severance Hospital)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제56권 제2호
발행연도
2014.1
수록면
108 - 113 (6page)

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Objective : Ankylosing spondylitis is an inflammatory rheumatic disease mainly affecting the axial skeleton. The rigid spine may secondarily develop osteoporosis, further increasing the risk of spinal fracture. In this study, we reviewed fractures in patients with ankylosing spondylitis that had been clinically diagnosed to better define the mechanism of injury, associated neurological deficit, predisposing factors, and management strategies. Methods : Between January 2003 and December 2013, 12 patients with 13 fractures with neurological complications were treated. Neuroimaging evaluation was obtained in all patients by using plain radiography, CT scan, and MR imaging. The ASIA Impairment Scale was used in order to evaluate the neurologic status of the patients. Management was based on the presence or absence of spinal instability. Results : A total of 9 cervical and 4 thoracolumbar fractures were identified in a review of patients in whom ankylosing spondylitis had been diagnosed. Of these, 7 fractures were associated with a hyperextension mechanism. 10 cases resulted in a fracture by minor trauma. Posttraumatic neurological deficits were demonstrated in 11 cases and neurological improvement after surgery was observed in 5 of these cases. Conclusions : Patients with ankylosing spondylitis are highly susceptible to spinal fracture and spinal cord injury even after only mild trauma. Initial CT or MR imaging of the whole spine is recommended even if the patient's symptoms are mild. The patient should also have early surgical stabilization to correct spinal deformity and avoid worsening of the patient's neurological status.
#Ankylosing spondylitis #Trauma #Vertebral fracture #Spinal cord injury #Surgery

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참고문헌 (28)

참고문헌 신청
Alaranta H / 2002 / Traumatic spinal cord injury as a complication to ankylosing spondylitis. An extended report / Clin Exp Rheumatol 20:66~68 google schola Anwar F / 2011 / Delayed presentation and diagnosis of cervical spine injuries in long-standing ankylosing spondylitis / Eur Spine J 20:403~407 google schola Braun J / 2007 / Ankylosing spondylitis / Lancet 369:1379~1390 google schola Caron T / 2010 / Spine fractures in patients with ankylosing spinal disorders / Spine (Phila Pa 1976) 35:E458~E464 google schola Cornefjord M / 2005 / Posterior fixation of subaxial cervical spine fractures in patients with ankylosing spondylitis / Eur Spine J 14:401~408 google schola

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