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Surgical Outcomes after Traumatic Vertebral Fractures in Patients with Ankylosing Spondylitis

DC Field Value Language
dc.contributor.author구성욱-
dc.contributor.author김근수-
dc.contributor.author김긍년-
dc.contributor.author조영은-
dc.contributor.author진동규-
dc.contributor.author조용은-
dc.date.accessioned2015-12-28T10:55:05Z-
dc.date.available2015-12-28T10:55:05Z-
dc.date.issued2014-
dc.identifier.issn2005-3711-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/138303-
dc.description.abstractOBJECTIVE: 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.-
dc.description.statementOfResponsibilityopen-
dc.format.extent108~113-
dc.relation.isPartOfJOURNAL OF KOREAN NEUROSURGICAL SOCIETY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleSurgical Outcomes after Traumatic Vertebral Fractures in Patients with Ankylosing Spondylitis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorSeong Bae An-
dc.contributor.googleauthorKeung Nyun Kim-
dc.contributor.googleauthorDong Kyu Chin-
dc.contributor.googleauthorKeun Su Kim-
dc.contributor.googleauthorYong Eun Cho-
dc.contributor.googleauthorSung Uk Kuh-
dc.identifier.doi10.3340/jkns.2014.56.2.108-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03865-
dc.contributor.localIdA00196-
dc.contributor.localIdA00330-
dc.contributor.localIdA00331-
dc.contributor.localIdA03979-
dc.relation.journalcodeJ01520-
dc.identifier.eissn1598-7876-
dc.identifier.pmid25328647-
dc.subject.keywordAnkylosing spondylitis-
dc.subject.keywordSpinal cord injury-
dc.subject.keywordSurgery-
dc.subject.keywordTrauma-
dc.subject.keywordVertebral fracture-
dc.contributor.alternativeNameKuh, Sung Uk-
dc.contributor.alternativeNameKim, Keun Su-
dc.contributor.alternativeNameKim, Keung Nyun-
dc.contributor.alternativeNameCho, Yong Eun-
dc.contributor.alternativeNameChin, Dong Kyu-
dc.contributor.affiliatedAuthorCho, Yong Eun-
dc.contributor.affiliatedAuthorKuh, Sung Uk-
dc.contributor.affiliatedAuthorKim, Keun Su-
dc.contributor.affiliatedAuthorKim, Keung Nyun-
dc.contributor.affiliatedAuthorChin, Dong Kyu-
dc.citation.volume56-
dc.citation.number2-
dc.citation.startPage108-
dc.citation.endPage113-
dc.identifier.bibliographicCitationJOURNAL OF KOREAN NEUROSURGICAL SOCIETY, Vol.56(2) : 108-113, 2014-
dc.identifier.rimsid52792-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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