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Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

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.

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Acknowledgements

No funds were received in support of this study.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Jichi Medical University Saitama Medical Center, Amanuma-cho 1-847, Oomiya-ku, Saitama city, Saitama, 330-8503, Japan

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

Authors
  1. Kazuo Saita
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  2. Motohiko Ooyama
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  3. Minoru Endo
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  4. Teruaki Endo
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  5. Yuuki Iijima
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  6. Yuusuke Ueda
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Corresponding author

Correspondence to Kazuo Saita.

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Saita, K., Ooyama, M., Endo, M. et al. Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis. Eur J Orthop Surg Traumatol 20, 533–537 (2010). https://doi.org/10.1007/s00590-010-0612-x

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  • DOI: https://doi.org/10.1007/s00590-010-0612-x

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