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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

Read: 4403 times

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Table of contents

SURGICAL TREATMENT OF THORACIC SPINE FRACTURE IN A PATIENT WITH ANKYLOSING SPONDYLITIS: CASE REPORT AND LITERATURE REVIEW
SURGICAL TREATMENT OF THORACIC SPINE FRACTURE IN A PATIENT WITH ANKYLOSING SPONDYLITIS: CASE REPORT AND LITERATURE REVIEW

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

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

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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References:

  1. Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007;369(9570):1379-1390. https://doi.org/10.1016/S0140-6736(07)60635-7
  2. Feldtkeller E, Khan MA, van der Heijde D, van der Linden S, Braun J. Age at disease onset and diagnosis delay in HLA-B27 negative vs. positive patients with ankylosing spondylitis. Rheumatology International. 2003;23(2):61-66.  https://doi.org/10.1007/s00296-002-0237-4
  3. Braun J, Bollow M, Remlinger G, Eggens U, Rudwaleit M, Distler A, Sieper J. Prevalence of spondylarthropathies in HLA-B27 positive and negative blood donors. Arthritis and Rheumatism. 1998;41(1):58-67.  https://doi.org/10.1002/1529-0131(199801)41:1<58::AID-ART8; 3.0.CO;2-G
  4. Weinstein PR, Karpman RR, Gall EP, Pitt M. Spinal cord injury, spinal fracture, and spinal stenosis in ankylosing spondylitis. Journal of Neurosurgery. 1982;57(5):609-616.  https://doi.org/10.3171/jns.1982.57.5.0609
  5. Geusens P, Vosse D, van der Linden S. Osteoporosis and vertebral fractures in ankylosing spondylitis. Current Opinion in Rheumatology. 2007;19(4):335-339.  https://doi.org/10.1097/BOR.0b013e328133f5b3
  6. Trent G, Armstrong GW, O’Neil J. Thoracolumbar fractures in ankylosing spondylitis. High-risk injuries. Clinical Orthopaedics and Related Research. 1988;227:61-66. 
  7. Werner BC, Samartzis D, Shen F. H Spinal Fractures in Patients with ankylosing spondylitis: etiology, diagnosis, and management. The Journal of the American Academy of Orthopaedic Surgeons. 2016;24(4):241-249.  https://doi.org/10.5435/JAAOS-D-14-00149.
  8. Einsiedel T, Schmelz A, Arand M, Wilke HJ, Gebhard F, Hartwig E, Kramer M, Neugebauer R, Kinzl L, Schultheiss M. Injuries of the cervical spine in patients with ankylosing spondylitis: experience at two trauma centers. Journal of Neurosurgery. Spine. 2006;5(1):33-45.  https://doi.org/10.3171/spi.2006.5.1.33
  9. Norkin IA, Chekhonatsky AA, Ninel VG, Ostrovsky VV. Treatment of a fracture of the cervical spine in Bekhterev’s disease. Khirurgiya pozvonochnika. 2007;2:23-25. (In Russ.).
  10. Detwiler KN, Loftus CM, Godersky JC, Menezes AH. Management of cervical spine injuries in patients with ankylosing spondylitis. Journal of Neurosurgery. 1990;72(2):210-215.  https://doi.org/10.3171/jns.1990.72.2.0210
  11. Thumbikat P, Hariharan RP, Ravichandran G, McClelland MR, Mathew KM. Spinal cord injury in patients with ankylosing spondylitis: a 10-year review. Spine. 2007;32(26):2989-2995. https://doi.org/10.1097/BRS.0b013e31815cddfc
  12. Alaranta H, Luoto S, Konttinen YT. Traumatic spinal cord injury as a complication to ankylosing spondylitis. An extended report. Clinical and Experimental Rheumatology. 2002;20(1):66-68. 
  13. Konovalov NA, Nazarenko AG, Asyutin DS, Solenkova AV, Onoprienko RA, Zakirov BA, Timonin SYu, Cherkiev IU, Martynova MA, Kosyrkova AV, Korolishin VA. Comprehensive assessment of the outcomes of surgical treatment of patients with metastatic spinal cord injuries. Burdenko’s Journal of Neurosurgery. 2015;79(3):34-44. (In Russ.). https://doi.org/10.17116/neiro201579334-44
  14. Liu X, Bai RX, Li DD, Zhu B, Wu J. Analysis of the thoracolumbar fracture with ankylosing spondylitis. China Journal of Orthopaedics and Traumatology. 2009;22(7):488-490. 
  15. Verlaan JJ, Diekerhof CH, Buskens E, van der Tweel I, Verbout AJ, Dhert WJ, Oner FC. Surgical treatment of traumatic fractures of the thoracic and lumbar spine: A systematic review of the literature on techniques, complications, and outcome. Spine. 2004;29(7):803-814.  https://doi.org/10.1097/01.brs.0000116990.31984.a9
  16. Samartzis D, Anderson DG, Shen FH. Multiple and simultaneous spine fractures in ankylosing spondylitis: Case report. Spine. 2005;30(23):711-715.  https://doi.org/10.1097/01.brs.0000188272.19229.74
  17. Sapkas G, Kateros K, Papadakis SA, Galanakos S, Brilakis E, Machairas G, Katonis P. Surgical outcome after spinal fractures in patients with ankylosing spondylitis. BMC Musculoskeletal Disorders. 2009;10:96.  https://doi.org/10.1186/1471-2474-10-96
  18. Whang PG, Goldberg G, Lawrence JP, Hong J, Harrop JS, Anderson DG, Albert TJ, Vaccaro AR. The management of spinal injuries in patients with ankylosing spondylitis or diffuse idiopathic skeletal hyperostosis: A comparison of treatment methods and clinical outcomes. Journal of Spinal Disorders and Techniques. 2009;22(2):77-85.  https://doi.org/10.1097/BSD.0b013e3181679bcb
  19. Krüger A, Frink M, Oberkircher L, El-Zayat BF, Ruchholtz S, Lechler P. Percutaneous dorsal instrumentation for thoracolumbar extension-distraction fractures in patients with ankylosing spinal disorders: A case series. The Spine Journal. 2014;14(12):2897-2904. https://doi.org/10.1016/j.spinee.2014.04.018
  20. Yeoh D, Moffatt T, Karmani S. Good outcomes of percutaneous fixation of spinal fractures in ankylosing spinal disorders. Injury. 2014;45(10):1534-1538. https://doi.org/10.1016/j.injury.2014.03.020
  21. Trungu S, Ricciardi L, Forcato S, Miscusi M, Raco A. Percutaneous instrumentation with cement augmentation for traumatic hyperextension thoracic and lumbar fractures in ankylosing spondylitis: A single-institution experience. Neurosurgical Focus. 2021;51(4):E8.  https://doi.org/10.3171/2021.7.FOCUS21308
  22. Caron T, Bransford R, Nguyen Q, Agel J, Chapman J, Bellabarba C. Spine fractures in patients with ankylosing spinal disorders. Spine. 2010;35(11):458-464.  https://doi.org/10.1097/BRS.0b013e3181cc764f
  23. Lu ML, Tsai TT, Lai PL, Fu TS, Niu CC, Chen LH, Chen WJ. A retrospective study of treating thoracolumbar spine fractures in ankylosing spondylitis. European Journal of Orthopaedic Surgery and Traumatology. 2014;24(Suppl 1): 117-123.  https://doi.org/10.1007/s00590-013-1375-y
  24. Westerveld LA, van Bemmel JC, Dhert WJ, Oner FC, Verlaan JJ. Clinical outcome after traumatic spinal fractures in patients with ankylosing spinal disorders compared with control patients. The Spine Journal. 2014;14(5):729-740.  https://doi.org/10.1016/j.spinee.2013.06.038
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