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European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-10-2010 | Original Article

Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis

Authors: Kazuo Saita, Motohiko Ooyama, Minoru Endo, Teruaki Endo, Yuuki Iijima, Yuusuke Ueda

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 7/2010

Abstract

Object

The object of this case series was to report the unstable transverse spinal fracture in osteoporotic ankylosing spinal hyperostosis.

Clinical materials and methods

We report eight cases from 2001 to 2008, four men and four women, aged 66–85 (Average 76.1).

Results

We could treat three cases conservatively, but in two cases the treatment was converted to surgery due to a delayed onset of paraparesis. In total, five cases were treated surgically. Surgical procedures were laminectomy with posterior instrumentation. The surgical results were recovery to walking in two, recovery to standing with aid in two, and no gain in one. A loss of reduction occurred in two cases, with ventral displacement appearing to be the cause of the poor result in one.

Conclusions

The surgery for this situation is troublesome. We should manage the vertebral fracture in ankylosing spinal hyperostosis very carefully; keeping in mind that it might actually be unstable transverse vertebral fracture.

Corke CF (1981) Spinal fracture and paraplegia after minimal trauma in a patient with ankylosing vertebral hyperostosis. Br Med J 282:2035CrossRef

Ghavam C, Kirkpatrick JS (1995) Extension-distraction fracture of the first lumbar vertebra. Spine 20:1080–1083CrossRefPubMed

Hendrix RW, Melany M, Miller F, Rogers LF (1994) Fracture of the spine in patients with ankylosis due to diffuse skeletal hyperostosis: clinical and imaging findings. AJR 162:899–904PubMed

Moriwaki S, Kato Y, Kataoka H, Taguchi T, Toyoda K (2008) Treatment for patients with pre-exsiting ankylosing spinal hyperostosis and vertebral fractures and thoraco-lumbar level. Orthop Traumatol 57:116–120 (in Japanese)CrossRef

Paley D, Schwartz M, Cooper P, Harris WR, Levine AM (1991) Fractures of the spine in diffuse idiopathic skeletal hyperostosis. Clin Orthop Relat Res 267:22–32PubMed

Thumbikat P, Hariharan RP, Ravichandran G, McClelland MR, Mathew KM (2007) Spinal cord injury in patients with ankylosing spondylitis: a 10-year review. Spine 32:2989–2995CrossRefPubMed

Vosse D, Feldtkeller E, Erlendsson J, Geusens P, van der Linden S (2004) Clinical vertebral fractures in patients with ankylosing spondylitis. J Rheumatol 31:1981–1985PubMed

Title: Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis
Authors: Kazuo Saita
Motohiko Ooyama
Minoru Endo
Teruaki Endo
Yuuki Iijima
Yuusuke Ueda
Publication date: 01-10-2010
Publisher: Springer-Verlag
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 7/2010
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-010-0612-x

At a glance: The STEP trials

Springer Medicine

Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis

Abstract

Object

Clinical materials and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Object

Clinical materials and methods

Results

Conclusions

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