Management of Acute Spinal Fractures in Ankylosing Spondylitis
Joint Authors
Vives, Michael J.
Hullinger, Heidi
Chaudhary, Saad B.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-06-30
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Ankylosing Spondylitis (AS) is a multifactorial and polygenic rheumatic condition without a well-understood pathophysiology (Braun and Sieper (2007)).
It results in chronic pain, deformity, and fracture of the axial skeleton.
AS alters the biomechanical properties of the spine through a chronic inflammatory process, yielding a brittle, minimally compliant spinal column.
Consequently, this patient population is highly susceptible to unstable spine fractures and associated neurologic devastation even with minimal trauma.
Delay in diagnosis is not uncommon, resulting in inappropriate immobilization and treatment.
Clinicians must maintain a high index of suspicion for fracture when evaluating this group to avoid morbidity and mortality.
Advanced imaging studies in the form of multidetector CT and/or MRI should be employed to confirm the diagnosis.
Initial immobilization in the patient's preinjury alignment is mandatory to prevent iatrogenic neurologic injury.
Both nonoperative and operative treatments can be employed depending on the patient's age, comorbidities, and fracture stability.
Operative techniques must be individually tailored for this patient population.
A multidisciplinary team approach is best with preoperative nutritional assessment and pulmonary evaluation.
American Psychological Association (APA)
Chaudhary, Saad B.& Hullinger, Heidi& Vives, Michael J.. 2011. Management of Acute Spinal Fractures in Ankylosing Spondylitis. ISRN Rheumatology،Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-449790
Modern Language Association (MLA)
Chaudhary, Saad B.…[et al.]. Management of Acute Spinal Fractures in Ankylosing Spondylitis. ISRN Rheumatology No. 2011 (2011), pp.1-9.
https://search.emarefa.net/detail/BIM-449790
American Medical Association (AMA)
Chaudhary, Saad B.& Hullinger, Heidi& Vives, Michael J.. Management of Acute Spinal Fractures in Ankylosing Spondylitis. ISRN Rheumatology. 2011. Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-449790
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-449790