RT Journal Article
SR Electronic
T1 Is Long-Segment Fixation a Rule in Fractures Associated With Ankylosing Spondylitis?
JF International Journal of Spine Surgery
JO Int J Spine Surg
FD International Society for the Advancement of Spine Surgery
SP 215
OP 220
DO 10.14444/6029
VO 13
IS 2
A1 KULKARNI, ARVIND G.
A1 AGARWAL, VARUN K.
A1 KUMAR, NANDISH
A1 KUMAR, AVINASH
A1 PATEL, ANKIT
YR 2019
UL https://www.ijssurgery.com/content/13/2/215.abstract
AB Study Design: Technical report.Objective: We describe the outcomes of percutaneous vertebroplasty in 3-columnar thoraco-lumbar fracture secondary to hyper-extension injury in 3 patients with ankylosing spondylitis (AS). Thoraco-lumbar hyperextension injuries in AS are generally unstable as they involve all 3 spinal columns and traditionally require long-segment posterior instrumented stabilization.Methods: Three cases of AS with severe medical comorbidities underwent percutaneous vertebroplasty for hyper-extension injury involving all 3 columns. Visual analog scale (VAS) and Oswestry Disability Index (ODI) scores were documented preoperatively, postoperatively, and at the last follow-up.Results: Excellent improvements in VAS and ODI scores were achieved. The patients have no complaints and are independent and mobile at 2 years follow-up.Conclusion: Vertebroplasty is an excellent option in such medically unfit patients with similar diagnosis and should be performed as early as possible before profound instability or neurological insult sets in, which would necessitate bigger and morbid surgeries.