Az orvos-, egészségtudományi- és gyógyszerészképzés tudományos műhelyeinek fejlesztése(EFOP-3.6.3-VEKOP-16-2017-00009)
Támogató: EFOP-VEKOP
Szakterületek:
Idegsebészet
Background/Objectives: Cervical spine fractures in ankylosing spondylitis (AS) are
characterized as highly unstable fractures posing an elevated risk of neurological
deficit and a significantly elevated mortality rate. This study assesses the efficacy
and safety of single-stage plate stabilization with ventral cement augmentation in
treating subaxial cervical spine fractures in patients with AS. Methods: Over 86 months,
38 patients diagnosed with AS received ventral plate stabilization with cement augmentation
after suffering unstable subaxial cervical fractures. No additional dorsal stabilization
was used in any of these surgeries. Results: There were no complications as a result
of cement leakage. During the follow-up period, screw loosening and implant displacement
were documented in two out of 38 cases. At the time of data analysis, 17 patients
who had undergone treatment had died, representing 44.7% of the total cases. Seven
patients died within 1 month, two patients died within 6 months, four patients died
within 1 year, and four patients died after 1 year. Conclusions: Our study shows that
a single-stage anterior screw and plate fixation of the cervical spine with cement
augmentation could be a feasible and effective method to treat cervical spine fractures
in patients with AS.