Spinal fx complications, mortality up with ankylosing spondylitis

Spinal fx complications, mortality up with ankylosing spondylitis

(HealthDay)—Spinal fracture patients with ankylosing spondylitis (AS) disorders have higher complication and mortality rates, compared with control patients, according to a study published in the May 1 issue of The Spine Journal.

L. Anneloes Westerveld, M.D., Ph.D., from the University Medical Center Utrecht in the Netherlands, and colleagues retrospectively evaluated 165 (older than 50 years) admitted with a traumatic spinal fracture to the emergency department of a regional level-1 trauma center.

The researchers found that 14 patients had (8.5 percent), 40 patients had diffuse idiopathic skeletal hyperostosis (DISH; 24.2 percent), and 111 served as control patients. Those with AS were approximately five years older than controls patients and predominantly male. The groups had similar Charlson comorbidity scores, but DISH patients had a higher prevalence of type 2 diabetes and obesity. Fractures in AS and DISH cases frequently resulted from low-energy trauma, presenting with a hyperextension configuration. AS and DISH patients were significantly more likely to be admitted with neurological deficits, compared to controls (P = 0.002), which did not improve in the majority of cases. Additionally, complication and were significantly higher in AS and DISH patients.

"Increasing age and presence of DISH are predictors of after a spinal fracture," the authors write.

Several authors disclosed financial ties to the medical device industry.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Spinal radiosurgery ups risk of vertebral fracture

Aug 20, 2013

(HealthDay)—Vertebral compression fracture (VCF) is a common adverse effect in patients receiving spine stereotactic body radiotherapy (SBRT), according to research published online Aug. 19 in the Journal of ...

Recommended for you

Fourth Sierra Leonean doctor dies from Ebola

15 hours ago

A fourth Sierra Leonean doctor, a woman, died Sunday after contracting the dreaded Ebola virus, a top health official said, while a Dutch charity repatriated two doctors suspected of having been contaminated ...

Dutch Ebola doctors 'to be evacuated on Sunday'

18 hours ago

Two Dutch doctors feared to have contracted the deadly Ebola virus while working in Sierra Leone are set to be flown back to the Netherlands "as soon as possible", the foreign ministry said Saturday.

Glycemic control linked to lumbar surgery complications

Sep 12, 2014

(HealthDay)—For patients with diabetes mellitus (DM) undergoing degenerative lumbar spine surgery, suboptimal glycemic control contributes to increased risk of complications and poor outcomes, according ...

User comments