Characteristics of cervical spine trauma in patients with ankylosing spondylitis and ossification of the posterior longitudinal ligament

• Published in: World neurosurgery Vol. 96; pp. 202 - 208
• Main Authors: Lee, Chang Kyu, MD, Yoon, Do Heum, MD, PhD, Kim, Keung Nyun, MD, PhD, Yi, Seong, MD, PhD, Shin, Dong Ah, MD, PhD, Kim, Byeongwoo, MD, Lee, Nam, MD, Ha, Yoon, MD, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2016
• Subjects: Adult; Aged; Ankylosing spondylitis; Cervical Cord - diagnostic imaging; Cervical Cord - injuries; Cervical Cord - pathology; Cervical Cord - surgery; Cervical ossification of the posterior longitudinal ligament; Cervical trauma; Cervical Vertebrae - surgery; Female; Fractures, Bone - etiology; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Neurologic status; Neurosurgery; Ossification of Posterior Longitudinal Ligament - complications; Ossification of Posterior Longitudinal Ligament - diagnostic imaging; Ossification of Posterior Longitudinal Ligament - surgery; Retrospective Studies; Spinal Cord Injuries - complications; Spinal Cord Injuries - diagnostic imaging; Spinal Cord Injuries - surgery; Spinal cord injury; Spinal fracture; Spondylitis, Ankylosing - complications; Spondylitis, Ankylosing - diagnostic imaging; Spondylitis, Ankylosing - surgery; Tomography Scanners, X-Ray Computed; OPLL; MRI; neurologic status; Electronic medical records; Diffuse idiopathic skeletal hyperostosis; Computed tomography; ASIA; SLIC; Anterior cervical discectomy and fusion; Ossification of the posterior longitudinal ligament; cervical ossification of the posterior longitudinal ligament; Ankylosing spondylitis; spinal cord injury; Motor vehicle accident; EMR; Subaxial cervical spine injury classification; CT; AS; Magnetic resonance imaging; American Spinal Injury Association; MVA; DISH; ACDF; cervical trauma; spinal fracture; Neurologic status; Spinal fracture; Cervical trauma; Spinal cord injury; Cervical ossification of the posterior longitudinal ligament
• ISSN: 1878-8750; 1878-8769
• DOI: 10.1016/j.wneu.2016.08.110

Highlights AS patients had cervical spine fracture injuries after minor trauma, but OPLL patients mostly had spinal cord injuries without bony fractures. Improvement from neurologic deficit after proper surgical treatment showed better outcomes in AS and OPLL patients than in controls It is important to thoroughly examine patients with AS or OPLL after cervical trauma so as not to delay diagnosis.