MANAGEMENT OF ACUTE CERVICAL FRACTURES IN PATIENTS WITH ANKYLOSING SPONDYLITIS

Yıl 2023, Cilt: 3 Sayı: 3, 59 - 64, 30.12.2023

Selin Bozdag Alaeddin Bayrak

Öz

Ankylosing spondylitis (AS) is a type of arthropathy that mainly affects the sacroiliac region and spine. In AS, patients are four times more likely to experience spinal fractures compared to the general population. In this specific group, these fractures often lead to a high incidence of neurological complications. In individuals with AS, spinal fractures are often caused by simple traumas, such as falling from the same level. The ossification of the ligaments and the annulus alters the biomechanics of the spine, acting like a long bone, and reduces its ability to absorb even minor impacts. This article aims to highlight the distinctions in acute cervical fractures among patients with AS compared to fractures in the general population by discussing three different case examples and drawing insights from existing literature.

Anahtar Kelimeler

Ankylosing spondylitis, Cervical fracture, Spinal fracture

ANKİLOZAN SPONDİLİTLİ HASTALARDA GELİŞEN AKUT SERVİKAL KIRIKLARIN YÖNETİMİ

Öz

Ankilozan spondilit primer olarak sakroiliak eklemleri ve omurgayı etkileyen seronegatif bir artropatidir. Spinal kırıklar, ankilozan spondilitli hastalarda genel popülasyona göre dört kat daha sıktır. Bu popülasyondaki kırıklar, yüksek nörolojik komplikasyon oranına sahiptir. Ankilozan spondilit hastalarında
spinal kırıklar sıklıkla aynı seviyeden düşme gibi düşük enerjili bir mekanizmadan kaynaklanır. Bu hastalarda spinal ligamanların ossifikasyonu ve anulus fibrozisin kalsifikasyonu, ufak darbeleri bile absorbe etme yeteneğini sınırlayan uzun bir kemik gibi davranarak omurganın biyomekaniğini değiştirir. Bu yazıda, ankilozan spondilitli hastalarda gelişen akut servikal kırıkların normal popülasyondaki kırıklara göre farklılıklarını üç farklı olgu örneği ile literatür eşliğinde tartışarak sunmayı amaçladık.

Anahtar Kelimeler

Ankilozan spondilit, Servikal kırık, Spinal kırık

Kaynakça

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