强直性脊柱炎合并脊柱骨折的治疗  

Treatment of spinal fractures in ankylosing spondylitis

作　　者：张继东[1] 董宇启[1] 韩晓峰[1] 陈滨[1] 刘中远[1] 董英海[1] 

机构地区：[1]上海第二医科大学仁济医院骨科,上海200127

出　　处：《上海第二医科大学学报》2004年第12期1061-1063,共3页Acta Universitatis Medicinalis Secondae Shanghai

摘　　要：目的探讨强直性脊柱炎合并脊柱骨折的临床治疗。方法 1992～ 2 0 0 2年收治强直性脊柱炎合并脊柱骨折患者 7例 ,5例患者采用保守治疗 ;2例行手术治疗 ,采用AESCULAP的MACSTL胸腰椎前路固定系统进行固定 ,观察疗效。结果 2例颈椎损伤患者均因呼吸衰竭在 1年内死亡 ;1例T12 /L1损伤患者因褥疮感染于 2年后死亡 ;2例应力性骨折患者经对症治疗 3月后症状缓解 ;2例胸腰段骨折行手术治疗的患者 ,1年后复查脊髓神经损伤程度由原来B级恢复至C级。结论强直性脊柱炎患者一旦发生脊柱骨折 ,容易造成脊髓损伤 ;对脊髓损伤的患者 ,应争取早日行手术减压和内固定术。Objective To investigate the clinical treatment of ankylosing spondylitis complicated with spinal fracture. Methods From 1992 up to 2002, 7 patients with ankylosing spondylitis complicated with spinal fracture were admitted. Five patients were received conventional treatment and 2 patients were operated by the MACS TL fixation system of AESCULAP Inc. Results Two patients with cervical injury died of respiratory failure after 1 year. One patient with T 12/L 1 injury was dead of bed sore after 2 years. Two patients with stress fractures were cured follow up with relief of symptoms after 3 months . After 1 year, two operated patients achieved Frankel's class C from class B. Conclusion In ankylosing spondylitis, the spine cord is easily hurt once the fracture happens,.Immediate surgical decompression and internal fixation are recommended if the patient’s condition permit.

关 键 词：患者 脊柱骨折 强直性脊柱炎 手术治疗 脊髓损伤 死亡 脊髓神经损伤 合并 结论 目的 

分 类 号：R593.23[医药卫生—内科学] R683.2[医药卫生—临床医学]