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[Dens fracture with concurrent subaxial cervical spine injury in patients with ankylosing spondylitis].
- Source :
-
Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca [Acta Chir Orthop Traumatol Cech] 2012; Vol. 79 (1), pp. 69-73. - Publication Year :
- 2012
-
Abstract
- Odontoid process fractures in patients with ankylosing spondylitis (AS) are rare and their finding together with subaxial cervical spine injury is a great exception. Neither the mechanism of such a combined cervical spine injury nor its surgical treatment has so far been reported in the relevant literature (MEDLINE). The authors present two such cases, one in a 30- and the other in a 74-year-old man. Both AS patients showed a common mechanism of injury sustained in a car accident, which involved hitting a solid barrier at 60 to 70 kilometres per hour, resulting in hyperextension of the cervical spine. In both patients the fractures were stabilised from the anterior approach: the dens fractures with one or two screws by the Magerl-Böhler method and the subaxial fractures with long-plate and screw fixation. At 2 post-operative years complete bone union of the subaxial spine was recorded in both patients; complete healing of the dens fracture was achieved in one patient while in the other partial fibrous union of the dens fracture occurred.
Details
- Language :
- Czech
- ISSN :
- 0001-5415
- Volume :
- 79
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca
- Publication Type :
- Academic Journal
- Accession number :
- 22405553