Double non-contiguous fractures in a affected person with spondylo-epiphyseal dysplasia with spinal ankylosis handled with open and percutaneous spinal fixation approach: a case report.
BMC Res Notes. 2018 Feb 07;11(1):106
Authors: Ushijima T, Kawaguchi Okay, Matsumoto T, Takagi M, Kondoh T, Nishimura G, Iida A, Ikegawa S, Haga N, Kato G
BACKGROUND: Sufferers with ankylosing spines are prone to creating spinal fractures even with minor trauma and may develop early or late neurological accidents. These fractures require early and aggressive surgical administration to allow spinal stability and/or neural decompression. Being extremely unstable by nature, they require comparatively lengthy phase instrumentation and fusion, which might improve paravertebral mushy tissue injury and perioperative bleeding. The aim of this report is to explain a uncommon case of traumatic double fractures on the cervico-thoracic and thoraco-lumbar transition zones in ankylosing backbone with spondylo-epiphyseal dysplasia (SED) of unknown trigger, which had been efficiently handled with a mixed open and percutaneous spinal fusion process.
CASE PRESENTATION: A 46-year-old girl who was recognized with non-contiguous fractures in cervico-thoracic and thoraco-lumbar junction zones amongst a number of accidents sustained in a visitors accident was handled with hybrid strategies for posterior instrumentation with an open method utilizing a computed tomography (CT)-based navigation system and percutaneous pedicle-screwing technique. She regained mobility to pre-admission ranges and began strolling on crutches three months postoperatively. Genetic testing for the reason for SED revealed no mutation within the COL2A1 or TRPVR4 genes. The union of fractured backbone was confirmed on CT scan 1 12 months postoperatively.
CONCLUSION: That is the primary report of double spinal fractures in an ankylosing backbone with genetically undetermined spondyloepiphyseal dysplasia. An extended-segment posterior instrumentation process incorporating the invasive therapy of spinal fractures in ankylosing spondylitis or diffuse idiopathic hyperostosis was efficient.
PMID: 29415765 [PubMed – in process]