Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis
Object The object of this case series was to report the unstable transverse spinal fracture in osteoporotic ankylosing spinal hyperostosis. Clinical materials and methods We report eight cases from 2001 to 2008, four men and four women, aged 66–85 (Average 76.1). Results We could treat three cases c...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2010-10, Vol.20 (7), p.533-537 |
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| container_title | European journal of orthopaedic surgery & traumatology |
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| creator | Saita, Kazuo Ooyama, Motohiko Endo, Minoru Endo, Teruaki Iijima, Yuuki Ueda, Yuusuke |
| description | Object
The object of this case series was to report the unstable transverse spinal fracture in osteoporotic ankylosing spinal hyperostosis.
Clinical materials and methods
We report eight cases from 2001 to 2008, four men and four women, aged 66–85 (Average 76.1).
Results
We could treat three cases conservatively, but in two cases the treatment was converted to surgery due to a delayed onset of paraparesis. In total, five cases were treated surgically. Surgical procedures were laminectomy with posterior instrumentation. The surgical results were recovery to walking in two, recovery to standing with aid in two, and no gain in one. A loss of reduction occurred in two cases, with ventral displacement appearing to be the cause of the poor result in one.
Conclusions
The surgery for this situation is troublesome. We should manage the vertebral fracture in ankylosing spinal hyperostosis very carefully; keeping in mind that it might actually be unstable transverse vertebral fracture. |
| doi_str_mv | 10.1007/s00590-010-0612-x |
| format | Article |
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The object of this case series was to report the unstable transverse spinal fracture in osteoporotic ankylosing spinal hyperostosis.
Clinical materials and methods
We report eight cases from 2001 to 2008, four men and four women, aged 66–85 (Average 76.1).
Results
We could treat three cases conservatively, but in two cases the treatment was converted to surgery due to a delayed onset of paraparesis. In total, five cases were treated surgically. Surgical procedures were laminectomy with posterior instrumentation. The surgical results were recovery to walking in two, recovery to standing with aid in two, and no gain in one. A loss of reduction occurred in two cases, with ventral displacement appearing to be the cause of the poor result in one.
Conclusions
The surgery for this situation is troublesome. We should manage the vertebral fracture in ankylosing spinal hyperostosis very carefully; keeping in mind that it might actually be unstable transverse vertebral fracture.</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-010-0612-x</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Medicine ; Medicine & Public Health ; Original Article ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2010-10, Vol.20 (7), p.533-537</ispartof><rights>Springer-Verlag 2010</rights><rights>Springer-Verlag 2010.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c268t-a8129082b6ecf7f440572efeffdd6982c0e75c481aa4760989fb43d99dac3afc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-010-0612-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-010-0612-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Saita, Kazuo</creatorcontrib><creatorcontrib>Ooyama, Motohiko</creatorcontrib><creatorcontrib>Endo, Minoru</creatorcontrib><creatorcontrib>Endo, Teruaki</creatorcontrib><creatorcontrib>Iijima, Yuuki</creatorcontrib><creatorcontrib>Ueda, Yuusuke</creatorcontrib><title>Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Object
The object of this case series was to report the unstable transverse spinal fracture in osteoporotic ankylosing spinal hyperostosis.
Clinical materials and methods
We report eight cases from 2001 to 2008, four men and four women, aged 66–85 (Average 76.1).
Results
We could treat three cases conservatively, but in two cases the treatment was converted to surgery due to a delayed onset of paraparesis. In total, five cases were treated surgically. Surgical procedures were laminectomy with posterior instrumentation. The surgical results were recovery to walking in two, recovery to standing with aid in two, and no gain in one. A loss of reduction occurred in two cases, with ventral displacement appearing to be the cause of the poor result in one.
Conclusions
The surgery for this situation is troublesome. We should manage the vertebral fracture in ankylosing spinal hyperostosis very carefully; keeping in mind that it might actually be unstable transverse vertebral fracture.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEtLAzEUhYMoWKs_wF3AdfQmM5NJllJ8QcFNXYc0c9NOrTNjkmr7700ZwZWL--ByvsPlEHLN4ZYD1HcRoNLAgOeSXLD9CZnwshCMg1SneZdFwRTI6pxcxLgB4JXm1YSYRbBd_MIQkeaecBnslvpgXdoFpG1H-5iwH_rQp9ZRu8KGDja12KVIv9u0prZ7P2z72HYrGoe2y_T6MGDIWD7GS3Lm7Tbi1e-ckrfHh8Xsmc1fn15m93PmhFSJWcWFBiWWEp2vfVlCVQv06H3TSK2EA6wrVypubVlL0Er7ZVk0WjfWFda7YkpuRt8h9J87jMls-l3I30QjVFFzraXUWcVHlcv_xYDeDKH9sOFgOJhjjmbM0eQczTFHs8-MGJmYtd0Kw5_z_9APsjJ5CA</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Saita, Kazuo</creator><creator>Ooyama, Motohiko</creator><creator>Endo, Minoru</creator><creator>Endo, Teruaki</creator><creator>Iijima, Yuuki</creator><creator>Ueda, Yuusuke</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20101001</creationdate><title>Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis</title><author>Saita, Kazuo ; Ooyama, Motohiko ; Endo, Minoru ; Endo, Teruaki ; Iijima, Yuuki ; Ueda, Yuusuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c268t-a8129082b6ecf7f440572efeffdd6982c0e75c481aa4760989fb43d99dac3afc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saita, Kazuo</creatorcontrib><creatorcontrib>Ooyama, Motohiko</creatorcontrib><creatorcontrib>Endo, Minoru</creatorcontrib><creatorcontrib>Endo, Teruaki</creatorcontrib><creatorcontrib>Iijima, Yuuki</creatorcontrib><creatorcontrib>Ueda, Yuusuke</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saita, Kazuo</au><au>Ooyama, Motohiko</au><au>Endo, Minoru</au><au>Endo, Teruaki</au><au>Iijima, Yuuki</au><au>Ueda, Yuusuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><date>2010-10-01</date><risdate>2010</risdate><volume>20</volume><issue>7</issue><spage>533</spage><epage>537</epage><pages>533-537</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Object
The object of this case series was to report the unstable transverse spinal fracture in osteoporotic ankylosing spinal hyperostosis.
Clinical materials and methods
We report eight cases from 2001 to 2008, four men and four women, aged 66–85 (Average 76.1).
Results
We could treat three cases conservatively, but in two cases the treatment was converted to surgery due to a delayed onset of paraparesis. In total, five cases were treated surgically. Surgical procedures were laminectomy with posterior instrumentation. The surgical results were recovery to walking in two, recovery to standing with aid in two, and no gain in one. A loss of reduction occurred in two cases, with ventral displacement appearing to be the cause of the poor result in one.
Conclusions
The surgery for this situation is troublesome. We should manage the vertebral fracture in ankylosing spinal hyperostosis very carefully; keeping in mind that it might actually be unstable transverse vertebral fracture.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><doi>10.1007/s00590-010-0612-x</doi><tpages>5</tpages></addata></record> |
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| subjects | Medicine Medicine & Public Health Original Article Surgical Orthopedics Traumatic Surgery |
| title | Transverse vertebral fracture in osteoporotic aged patients with ankylosing spinal hyperostosis |
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