[Traumatic injuries in ankylosing spinal diseases].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2024-11-01 Epub Date: 2024-10-10 DOI:10.1007/s00113-024-01484-4
Philipp Schleicher, Andreas Pingel, Alexander Wengert, Jonathan Neuhoff, Frank Kandziora
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Abstract

Ankylosing spinal diseases, such as ankylosing spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH), are highly important in spinal traumatology and are therefore specifically considered in the AO Spine Classification of spinal injuries. These diseases make the spine extremely susceptible to injury and also complicate the diagnosis and treatment, leading to an increased mortality. Concomitant neurological injuries are frequent. The treatment of such injuries requires great attention and careful preparation. Early and precise diagnostics using computed tomography (CT) and magnetic resonance imaging (MRI) as well as a surgical intervention are crucial for the survival and the quality of life of patients. The treatment is carried out surgically as conservative treatment often leads to high complication rates. In postoperative care special attention must be paid to cardiopulmonary complications.

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[强直性脊柱疾病中的创伤]。
强直性脊柱疾病,如强直性脊柱炎(AS)和弥漫性特发性骨骼增生症(DISH),是脊柱创伤学中非常重要的疾病,因此在 AO 脊柱损伤分类中被特别考虑。这些疾病使脊柱极易受伤,也使诊断和治疗复杂化,导致死亡率增加。伴随的神经损伤也很常见。此类损伤的治疗需要高度重视和精心准备。使用计算机断层扫描(CT)和磁共振成像(MRI)进行早期精确诊断以及手术干预对患者的生存和生活质量至关重要。由于保守治疗往往会导致较高的并发症发生率,因此必须通过手术进行治疗。术后护理必须特别注意心肺并发症。
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