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)

Related Stories

Spinal radiosurgery ups risk of vertebral fracture

date 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

Third Minnesota turkey farm hit by bird flu outbreak

date 4 hours ago

An outbreak of a bird flu strain that's deadly to poultry deepened Saturday when state and federal officials confirmed a third Minnesota turkey farm has been infected, this time in one of the state's top poultry producing ...

Nocturnal GERD tied to non-infectious rhinitis

date Mar 27, 2015

(HealthDay)—Nocturnal gastroesophageal reflux disease (GERD) appears to be a risk factor for non-infectious rhinitis (NIR), according to a study published online March 24 in Allergy.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.