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Chekhonatsky V.A.

Russian Medical Academy for Continuous Professional Education

Dreval O.N.

Russian Medical Academy of Continuing Professional Education

Kuznetsov A.V.

Russian Medical Academy for Continuous Professional Education

Gorozhanin A.V.

Botkin Moscow City Clinical Hospital

Sidorenko V.V.

Botkin City Clinical Hospital

Surgical treatment of thoracic spine fracture in a patient with ankylosing spondylitis: case report and literature review

Authors:

Chekhonatsky V.A., Dreval O.N., Kuznetsov A.V., Gorozhanin A.V., Sidorenko V.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(3): 71‑76

DOI: 10.17116/neiro20228603171

Views: 3326

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To cite this article:

Chekhonatsky VA, Dreval ON, Kuznetsov AV, Gorozhanin AV, Sidorenko VV. Surgical treatment of thoracic spine fracture in a patient with ankylosing spondylitis: case report and literature review. Burdenko's Journal of Neurosurgery. 2022;86(3):71‑76. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20228603171

 
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OBJECTIVE

To describe the features of diagnosis and surgical treatment of thoracic spine fracture in a patient with ankylosing spondylitis.

MATERIAL AND METHODS

We present a patient with ankylosing spondylitis, blunt thoracic spine trauma and Th10-Th11 fracture, spinal cord compression and contusion and moderate lower extremity paresis. Preoperative and postoperative CT and MRI (after 8 months) were performed for control of decompression.

RESULTS

The authors identified the main factors affecting the quality of life of patients with spine fractures following ankylosing spondylitis and formulated treatment algorithm.

CONCLUSION

Active strategy is advisable for spine fractures following ankylosing spondylitis: spinal cord decompression, creation of anatomical compliance in the damaged vertebral segment and its fixation by transpedicular system. A similar surgical treatment of spine fractures following ankylosing spondylitis makes it possible to achieve early activation of patients and reduce rehabilitation period.

Keywords:

ankylosing spondylitis
thoracic spine
fractures
treatment

Authors:

Chekhonatsky V.A.

Russian Medical Academy for Continuous Professional Education

Dreval O.N.

Russian Medical Academy of Continuing Professional Education

Kuznetsov A.V.

Russian Medical Academy for Continuous Professional Education

Gorozhanin A.V.

Botkin Moscow City Clinical Hospital

Sidorenko V.V.

Botkin City Clinical Hospital

Received:

23.06.2021

Accepted:

25.03.2022

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