Abstract

BAZAN, Pedro L et al. Fracturas de la columna vertebral en pacientes con espondilitis anquilosante. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2021, vol.86, n.1, pp.58-63. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2021.86.1.1094.

Introduction: Ankylosing Spondylitis (AS) is a progressive inflammatory disorder that affects the axial skeleton including the sacroiliac joints. Patients are 4 times more likely to suffer a fracture (10% at 10 years of illness), and there is a high percentage of delay in diagnosis. Stiffness and osteoporosis are key to suffering these injuries. CT and MRI scannings play a fundamental role in diagnosis. The current choice for treatment is decompression and surgical fixation. A series of cases is presented in order to: consider diagnostic difficulties; describe the injuries and therapeutic decision; analyze the presentation of complications and carry out a bibliographic update. Materials and Methods: This is a retrospective multicenter study of a case series of 6 patients. Results: Six males with an average age of 58.1 years. Four presented a fall from the standing position. The delay in diagnosis was 12.8 days on average. The most affected areas were thoracic and lumbar, with a predominant mechanism of hyperextension. Four patients underwent surgery. Conclusions: AS carriers are more at risk of suffering a low-energy trauma fracture. A delay of 12.8 days in diagnosis. Surgical treatment, with long fixations and posterior release, is the most widely used treatment. We have not observed post treatment complications.

Keywords : Ankylosing spondylitis; fractures; treatment; complications.

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