CASE REPORT

Artrodese Cervicodorsal Circunferencial em Pacientes com Espondilite Anquilosante e Fraturas

Circumferential Cervicodorsal Arthrodesis in Patients with Ankylosing Spondylitis and Fractures

  • Marcel Sincari (1)    Marcel Sincari (1)
  • Gabriel Pina (2)    Gabriel Pina (2)
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Resumo

 Este artigo representa uma breve descrição do conceito de fraturas em pacientes com espondilite anquilosante e as técnicas cirúrgicas mais utilizadas, seguido pelo relato de três casos tratados por artrodese circunferencial.

Palavras-chave

Espondilite anquilosante; Artrodese; Vértebras cervicais

Abstract

This article represents a brief description of the concept of fractures in patients with ankylosing spondylitis and the most used surgical techniques, followed by the report of three cases treated by circumferential arthrodesis.

Keywords

Ankylosing spondylitis; Arthrodesis; Cervical vertebrae

References

1. He A, Xie D, Cai X, et al. One-stage surgical treatment of cervical spine fracture-dislocation in patients with ankylosing spondylitis via the combined anterior-posterior approach. Medicine. 2017;96(27):e7432. http://dx.doi.org/10.1097/MD.0000000000007432. PMid:28682906.

2. Qian SJ, Ye XS, Chen WS, Li WL. Missed diagnosis of oesophageal perforation in ankylosing spondylitis cervical fracture: two case reports and literature review. J Int Med Res. 2016;44(1):170-5. http://dx.doi. org/10.1177/0300060515614230. PMid:26740499.

3. Muñoz-Ortego J, Vestergaard P, Rubio JB, et al. Ankylosing spondylitis is associated with an increased risk of vertebral and nonvertebral clinical fractures: a population-based cohort study. J Bone Miner Res. 2014;29(8):1770-6. http://dx.doi.org/10.1002/jbmr.2217. PMid:24619796.

4. Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 1983;8(8):817-31. http://dx.doi.org/10.1097/00007632-198311000-00003. PMid:6670016.

5. Miao J, Chen Y, Zhang B, et al. Surgical treatment for odontoid fractures in patients with long-standing ankylosing spondylitis: a report of 3 cases and review of the literature. World Neurosurg. 2018;116:88-93http://dx.doi.org/10.1016/j.wneu.2018.05.055.PMid:29777896.

6. Min Y, Hui-Yun G, Hou-Cheng Z, et al. The surgical treatment strategies for thoracolumbar spine fractures with ankylosing spondylitis: a case report. BMC Surg. 2019;19(1):99. http://dx.doi.org/10.1186/ s12893-019-0565-x. PMid:31349822.

7. Lee CK, Yoon DH, Kim KN, et al. Characteristics of cervical spine trauma in patients with ankylosing spondylitis and ossification of the posterior longitudinal ligament. World Neurosurg. 2016;96:202-8. http://dx.doi.org/10.1016/j.wneu.2016.08.110. PMid:27601153.

8. El Tecle NE, Abode-Iyamah KO, Hitchon PW, Dahdaleh NS. Management of spinal fractures in patients with ankylosing spondylitis. Clin Neurol Neurosurg. 2015;139:177-82. http://dx.doi.org/10.1016/j. clineuro.2015.10.014. PMid:26513429.

9. Guo Q, Cui Y, Wang L, Lu X, Ni B. Single anterior approach for cervical spine fractures at C5-T1 complicating ankylosing spondylitis. Clin Neurol Neurosurg. 2016;147:1-5. http://dx.doi.org/10.1016/j. clineuro.2016.05.015. PMid:27239896.

10. Lindtner RA, Kammerlander C, Goetzen M, et al. Fracture reduction by postoperative mobilisation for the treatment of hyperextension injuries of the thoracolumbar spine in patients with ankylosing spinal disorders. Arch Orthop Trauma Surg. 2017;137(4):531-41. http://dx.doi. org/10.1007/s00402-017-2653-7. PMid:28224297.



1MD, PhD, Neurosurgery Department, Centro Hospitalar Tondela-Viseu, Viseu, EPE, Portugal.

2MD, Department of Orthopaedics and Traumatology, Centro Hospitalar Tondela-Viseu, Viseu, EPE, Portugal.

 

Received Nov 15, 2023

Accepted Jan 3, 2024

JBNC  Brazilian Journal of Neurosurgery

  •   ISSN (print version): 0103-5118
  •   e-ISSN (online version): 2446-6786

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