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Comparison of Outcomes in Percutaneous Fixation of Traumatic Fractures between Ankylosing Spondylitis and Diffuse Idiopathic Skeletal Hyperostosis
| Content Provider | SAGE Publishing |
|---|---|
| Author | McCarty, Scott Bruckner, Jacob J. Camacho, Jael E. Jauregui, Julio J. Thomson, Alexandra E. Ye, Ivan Cavanaugh, Daniel L. Koh, Eugene Y. Ludwig, Steven C. Gelb, Daniel E. |
| Copyright Year | 2021 |
| Abstract | Study DesignRetrospective cohort study.ObjectivesThis study aims to analyze outcomes and complications of patients with thoracic and lumbar fractures in the setting of ankylosing spinal disorders (ASD) treated with minimally invasive surgery (MIS).MethodsThe operative logs from 2012 to 2019 from one academic, Level I trauma center were reviewed for cases of thoracic and lumbar spinal fractures in patients with ASD treated with a MIS approach. Variables were compared between patients with ankylosing spondylitis (AS), diffuse idiopathic skeletal hyperostosis (DISH), and advanced spondylosis.ResultsA total of 48 patients with ASD and concomitant thoracic or lumbar spinal fracture managed with an MIS approach were identified. A total of 11 patients were identified with AS, 21 with DISH, and 16 with advanced spondylosis. A total of 27 (56.3%) patients experienced complications. Complications differed between groups; DISH patients experienced a greater number of post-operative complications compared to AS and advanced spondylosis patients (P = .009). There was no significant difference in length of surgery, estimated blood loss, length of stay, readmission, and reoperation rates between AS and DISH patients. There were 3 mortalities unrelated to the surgery.ConclusionPercutaneous stabilization of patients with ankylosing spinal disorder fractures remains a viable management method. Operative characteristics were similar between AS, DISH, and advanced spondylosis patients; however, DISH patients experienced a greater number of post-operative complications. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/21925682211052003?download=true |
| ISSN | 21925682 |
| Journal | Global Spine Journal (GSJ) |
| e-ISSN | 21925690 |
| DOI | 10.1177/21925682211052003 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2021-10-20 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2021 |
| Subject Keyword | diffuse idiopathic skeletal hyperostosis thoracolumbar spine ankylosing spondylitis spine trauma minimally invasive spine surgery |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Neurology (clinical) Surgery |
