Published in:
01-02-2009 | Reviewer's Comment
Reviewer’s comment concerning “Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications” (L. A. Westerveld et al. Ms-no: ESJO-D-08-00152R1)
Author:
Frank Kandziora
Published in:
European Spine Journal
|
Issue 2/2009
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Excerpt
I would like to congratulate the authors to their excellent systematic review on spinal fractures in patients with ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) especially focusing on neurological outcome and complications in conservative and operative treatment. One of the most important conclusions of the manuscript is that “surgical treatment may be favourable for patients with an ankylosed spine and spinal fracture, as this treatment option may be associated with lower complication and mortality rates and may lead to neurological improvement more frequently”. Although this is an extremely satisfying statement, especially for a spine surgeon, we have to ask ourselves if the methodology used in this review is adequate to support this statement. …