Korean J Spine.  2013 Sep;10(3):195-199. 10.14245/kjs.2013.10.3.195.

Surgical Treatment of Lumbar Hyperextension Injury in Ankylosing Spondylitis

• Lee JK
• Park KS
• Park MS
• Kim SM
• Chung SY
• Lee DS

• KMID: 2140295
• DOI: http://doi.org/10.14245/kjs.2013.10.3.195

Abstract

Ankylosing spondylitis (AS) is a chronic systemic and inflammatory rheumatic disease with a variable course of the axial skeleton. Spinal involvement may accompany ossification of the ligaments, intervertebral disc, end-plates and apophyseal structures, and seems to be "bamboo spine". Because of these natures of the spine in AS, a spinal fracture can be occurred with minor trauma or spontaneously. The fracture of the AS can cause neurological complications extremely high, so special attention to prevent neurological deterioration. Operative management of the injured spine with AS is difficult, and associated with a high complication rate. Extreme care must be taken for surgery to prevent secondary neurological deterioration.

Keyword

Ankylosing spondylitis; Lumbar fracture; Postoperative complication; Neurological deterioration

MeSH Terms

Intervertebral Disc
Ligaments
Postoperative Complications
Rheumatic Diseases
Skeleton
Spinal Fractures
Spine
Spondylitis, Ankylosing*