Perioperative complications in open versus percutaneous treatment of spinal fractures in patients with an ankylosed spine

Charbel D. Moussallem, Brandon A. McCutcheon, Michelle J. Clarke, Quanqi Cui, Bradford L. Currier, Michael J Yaszemski, Paul M. Huddleston, Peter S. Rose, Brett Freedman, Mark B. Dekutoski, Mohamad Bydon, Ahmad Nassr

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

We compared open stabilization of vertebral fractures to percutaneous spinal fixation techniques in patients with a diagnosis of either ankylosing spondylitis (AS) or diffuse idiopathic skeletal hyperostosis (DISH). A retrospective review of patients known to have AS or DISH treated for spinal column fracture at a single institution between 1995 and 2011 was performed. Patients were analyzed by the type of fixation, divided into either a percutaneous group (PG) or an open group (OG). There were 41 patients identified with a spinal column fracture and history of AS or DISH who received surgical intervention. There were 17 (42%) patients with AS and 24 (58%) with DISH. Patients in the PG and OG cohorts presented with similar mechanisms of injury, Injury Severity Scale, number of vertebral fractures, number of additional injuries, and Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification scores. Mean operative time (254.76. minutes versus 334.67. minutes, p = 0.040), estimated blood loss (166.8 versus 1240.36. mL, p.

Original languageEnglish (US)
JournalJournal of Clinical Neuroscience
DOIs
StateAccepted/In press - Jan 20 2016

Fingerprint

Spinal Fractures
Diffuse Idiopathic Skeletal Hyperostosis
Spine
Ankylosing Spondylitis
Wounds and Injuries
Therapeutics
Operative Time

Keywords

  • Ankylosing spondylitis
  • Diffuse idiopathic skeletal hyperostosis
  • Open fixation
  • Percutaneous stabilization
  • Surgery

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)

Cite this

Perioperative complications in open versus percutaneous treatment of spinal fractures in patients with an ankylosed spine. / Moussallem, Charbel D.; McCutcheon, Brandon A.; Clarke, Michelle J.; Cui, Quanqi; Currier, Bradford L.; Yaszemski, Michael J; Huddleston, Paul M.; Rose, Peter S.; Freedman, Brett; Dekutoski, Mark B.; Bydon, Mohamad; Nassr, Ahmad.

In: Journal of Clinical Neuroscience, 20.01.2016.

Research output: Contribution to journalArticle

Moussallem, Charbel D. ; McCutcheon, Brandon A. ; Clarke, Michelle J. ; Cui, Quanqi ; Currier, Bradford L. ; Yaszemski, Michael J ; Huddleston, Paul M. ; Rose, Peter S. ; Freedman, Brett ; Dekutoski, Mark B. ; Bydon, Mohamad ; Nassr, Ahmad. / Perioperative complications in open versus percutaneous treatment of spinal fractures in patients with an ankylosed spine. In: Journal of Clinical Neuroscience. 2016.
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