Minimally invasive stabilization of the fractured ankylosed spine: a comparative case series study
To compare the outcome of minimally invasive fracture stabilization to traditional open methods in the thoracolumbar region in patients with an ankylosing disorder of the spine. A prospective, ethics-approved database (Spine Tango) at a tertiary referral center was retrospectively reviewed for resul...
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Published in | Journal of spine surgery (Hong Kong) Vol. 4; no. 2; pp. 168 - 172 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
China
AME Publishing Company
01.06.2018
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Abstract | To compare the outcome of minimally invasive fracture stabilization to traditional open methods in the thoracolumbar region in patients with an ankylosing disorder of the spine.
A prospective, ethics-approved database (Spine Tango) at a tertiary referral center was retrospectively reviewed for results of surgery on fractures of the ankylosed thoracolumbar spine. These were then split by surgical technique into two cohorts: minimally invasive surgical fixation (MIS group) or standard open surgery (open group).
We identified 17 patients who presented with fractures in an ankylosed spine from 2010 to 2017. MIS fixation was performed on 10 and open surgery and fixation on 7. Average age in the MIS group was older than the traditional cohort. There was no difference in the average number of levels stabilized (open =6.9, MIS =7). There was a shorter duration in the operative time and a significant difference in blood loss in favor of the MIS group (P=0.00079). Radiation exposure time and dose were significantly higher in the MIS group (P=0.006). There were no cases of non-union, implant malposition or failure in either group. Two significant complications occurred with the death of one patient in the MIS group, and one death in the open group.
The MIS technique for fractures of the ankylosed spine has shown an acceptable complication rate and good results comparable to open surgery for a high-risk patient population. |
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AbstractList | To compare the outcome of minimally invasive fracture stabilization to traditional open methods in the thoracolumbar region in patients with an ankylosing disorder of the spine.
A prospective, ethics-approved database (Spine Tango) at a tertiary referral center was retrospectively reviewed for results of surgery on fractures of the ankylosed thoracolumbar spine. These were then split by surgical technique into two cohorts: minimally invasive surgical fixation (MIS group) or standard open surgery (open group).
We identified 17 patients who presented with fractures in an ankylosed spine from 2010 to 2017. MIS fixation was performed on 10 and open surgery and fixation on 7. Average age in the MIS group was older than the traditional cohort. There was no difference in the average number of levels stabilized (open =6.9, MIS =7). There was a shorter duration in the operative time and a significant difference in blood loss in favor of the MIS group (P=0.00079). Radiation exposure time and dose were significantly higher in the MIS group (P=0.006). There were no cases of non-union, implant malposition or failure in either group. Two significant complications occurred with the death of one patient in the MIS group, and one death in the open group.
The MIS technique for fractures of the ankylosed spine has shown an acceptable complication rate and good results comparable to open surgery for a high-risk patient population. |
Author | Rackham, Matthew Williams, Ben Lee, Yu Chao Roy, Deb Selby, Michael Brooks, Francis |
Author_xml | – sequence: 1 givenname: Francis surname: Brooks fullname: Brooks, Francis organization: Spinal Unit, Royal Adelaide Hospital, Port Road, Adelaide, Australia – sequence: 2 givenname: Matthew surname: Rackham fullname: Rackham, Matthew organization: Spinal Unit, Royal Adelaide Hospital, Port Road, Adelaide, Australia – sequence: 3 givenname: Ben surname: Williams fullname: Williams, Ben organization: Spinal Unit, Royal Adelaide Hospital, Port Road, Adelaide, Australia – sequence: 4 givenname: Deb surname: Roy fullname: Roy, Deb organization: Spinal Unit, Royal Adelaide Hospital, Port Road, Adelaide, Australia – sequence: 5 givenname: Yu Chao surname: Lee fullname: Lee, Yu Chao organization: Spinal Unit, Royal Adelaide Hospital, Port Road, Adelaide, Australia – sequence: 6 givenname: Michael surname: Selby fullname: Selby, Michael organization: Spinal Unit, Royal Adelaide Hospital, Port Road, Adelaide, Australia |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30069503$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1016_j_neuchi_2023_101464 crossref_primary_10_1055_a_1277_4983 crossref_primary_10_1177_2050313X20987796 crossref_primary_10_22603_ssrr_2019_0084 crossref_primary_10_1007_s00068_021_01756_3 crossref_primary_10_3171_2021_7_SPINE21790 crossref_primary_10_1186_s12891_024_07597_6 crossref_primary_10_2106_JBJS_CC_22_00368 |
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Copyright | 2018 Journal of Spine Surgery. All rights reserved. 2018 Journal of Spine Surgery. |
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Keywords | spinal fractures Ankylosing spondylitis (AS) diffuse idiopathic skeletal hyperostosis (DISH) minimally invasive surgery (MIS) |
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Notes | Contributions: (I) Conception and design: F Brooks, M Rackham, M Selby; (II) Administrative support: None; (III) Provision of study materials or patients: All authors; (IV) Collection and assembly of data: F Brooks, M Rackham, B Williams, YC Lee; (V) Data analysis and interpretation: F Brooks, D Roy, M Selby; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. |
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Title | Minimally invasive stabilization of the fractured ankylosed spine: a comparative case series study |
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