Neurol Med Chir (Tokyo), 2018 · DOI: 10.2176/nmc.oa.2017-0112 · Published: March 1, 2018
This study examines spinal cord injuries in elderly individuals who also have ankylosing spondylitis (AS), a condition causing spine stiffness. The research focuses on how fractures in the spine affect these patients. Researchers analyzed the types of injuries, treatment methods (surgery vs. brace), and how patients recovered. The goal was to find the best ways to manage these complex cases. The study found that while surgery didn't always improve neurological status, it could help prevent other complications like pneumonia. Therefore, early surgery and rehabilitation are recommended for these patients.
In patients with AS and suspected spinal fracture, CT imaging of the entire spine is crucial for accurate diagnosis.
Consider early surgical intervention and rehabilitation to prevent pulmonary complications, even if neurological improvement is not guaranteed.
Treatment should be tailored to the patient's condition, considering fracture level, spinal cord compression, and overall health.