中国临床医学2016，Vol.23Issue(3)：347-349,3.
强直性脊柱炎合并颈椎骨折脱位的外科治疗
Surgical treatment of ankylosing spondylitis with cervical fracture-dislocation
摘要
Abstract
Objective:To analyze the clinical features of ankylosing spondylitis (AS) with traumatic cervical fracture-dislocation ,and discuss the crucial considerations of surgical treatment . Methods: The data of 9 patients of ankylosing spondylitis with traumatic cervical fracture-dislocation treated in Changzheng Hospital from January 2013 to April 2015 were analyzed ,and the clinical data ,follow-up data and imaging results were summarized .Results:The average course of disease was (20 .3 ± 9 .4) years .There were 4 cases of grade C and 5 cases of grade D according to the Frankel grading .There were five anterior operations ,two posterior operations and two combined anterior-posterior operations .All cases were followed up for 12-24 months (mean [16 .1 ± 3 .5] months) .Postoperative neurological function was improved in all patients ,perioperative complications included cerebral spinal fluid leakage in one case and incision deep infection in one case .There were no fracture nonunion ,pseudarthrosis and internal fixation failure .Conclusions:Because of local stress concentration and poor stability of AS with cervical fracture-dislocation ,we should actively implement surgical treatment to rebuild spinal stability and lower the probability of occurrence of spinal cord injury .Meanwhile ,perioperative management should be strengthened to avoid the secondary spinal cord injury .关键词
强直性脊柱炎/颈椎骨折/外科手术Key words
ankylosing spondylitis/cervical spine fracture/surgical operation分类
医药卫生引用本文复制引用
许鹏,史建刚,叶晓健,史国栋,许国华,侯洋,袁文,贾连顺..强直性脊柱炎合并颈椎骨折脱位的外科治疗[J].中国临床医学,2016,23(3):347-349,3.基金项目
聚合物分子工程国家实验室（复旦大学）开放研究课题基金（K2012-10）．Supported by Open Research Project Fund of State Key Laboratory of Molecular Engineering of Polymers （Fudan University ，K2012-10）． （）
