Surgical treatment of lumbar hyperextension injury in ankylosing spondylitis.
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.
Department of Neurosurgery, Eulji University College of Medicine, Taejon, Korea.
Jung Keun
JK
Lee
Department of Neurosurgery, Eulji University College of Medicine, Taejon, Korea.
Ki Seok
KS
Park
Department of Neurosurgery, Eulji University College of Medicine, Taejon, Korea.
Moon Sun
MS
Park
Department of Neurosurgery, Eulji University College of Medicine, Taejon, Korea.
Seong Min
SM
Kim
Department of Neurosurgery, Eulji University College of Medicine, Taejon, Korea.
Seung Young
SY
Chung
Department of Neurosurgery, Eulji University College of Medicine, Taejon, Korea.
Do Sung
DS
Lee
Ankylosing spondylitis; Lumbar fracture; Neurological deterioration; Postoperative complication