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Irish Journal of Medical Science (1971 -)

, Volume 186, Issue 3, pp 677–681 | Cite as

Clinical outcomes following spinal fracture in patients with ankylosing spondylitis

  • M. Nugent
  • M. J. Berney
  • S. Morris
Original Article
  • 251 Downloads

Abstract

Background

Ankylosing spondylitis is a seronegative rheumatoid condition mainly affecting the axial skeleton. It leads to progressive deformity and stiffening of the spine with an increased risk of vertebral fractures and significant neurological deficits compared to the general population.

Aim

This study aimed to evaluate the outcomes of patients with ankylosing spondylitis who sustained acute vertebral fractures over a 10-year period.

Methods

A retrospective review of patient records and radiographic images was performed. Mechanism of injury, fracture type, timing of diagnosis, neurological deficit, management and complications were assessed.

Results

Twenty-four patients were included. Most (23) sustained low energy injuries. Five (20%) patients had a delayed diagnosis over 24 h after the time of injury. Twelve (50%) of patients had a neurological deficit at the time of admission and most did not recover. Eighteen (75%) patients underwent surgical stabilisation. There were 19 complications (in 15 patients) following surgery.

Conclusion

Patients with ankylosing spondylitis are at risk of spinal fracture and associated spinal cord injury after relatively minor trauma. Delayed diagnosis places the patient at risk of neurological compromise, and thus a high index of suspicion is needed when assessing this patient group.

Keywords

Ankylosing spondylitis Spinal fracture Trauma Outcomes Spinal cord injury 

Notes

Compliance with ethical standards

The authors received no funding for this work and declare no conflict of interest. As this was a retrospective study and involved no intervention or change in treatment, consent was not necessary.

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Copyright information

© Royal Academy of Medicine in Ireland 2017

Authors and Affiliations

  1. 1.National Spinal Injuries UnitMater Misericordiae University HospitalDublin 1Ireland

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