AI Article Synopsis
- The study examined the use of halo-vest treatment for cervical fractures in patients with ankylosing spondylitis (AS) and kyphosis, aiming to assess safety and effectiveness.
- 36 patients were analyzed, with procedures involving either halo-vest or skull tractions followed by internal fixation and fusion surgery, tracking pre- and post-operative outcomes.
- Results indicated that the halo-vest group experienced less blood loss and shorter surgery times, with both groups showing improved neurological function and successful bony fusion post-treatment.
- The findings suggest that early surgical stabilization with a halo-vest can effectively manage cervical fractures in AS patients, helping to correct spinal deformity and prevent neurological decline.
Article Abstract
Background: This study aimed to investigate the safety and efficacy of the halo-vest in the treatment of cervical fracture in patients with ankylosing spondylitis (AS) and kyphosis.
Methods: From May 2017 to May 2021, 36 patients with cervical fractures with AS and thoracic kyphosis were included in this study. The patients with cervical spine fractures with AS underwent preoperative reduction by halo-vest or skull tractions. Instrumentation internal fixation and fusion surgery were then performed. The level of cervical fractures, the operative duration, blood loss, and treatment outcomes were investigated preoperatively and postoperatively.
Results: A total of 25 cases were included in the halo-vest group and 11 cases were included in the skull tractions group. The intraoperative blood loss and the surgery duration were significantly less in the halo-vest group than in the skull traction group. A comparison of American Spinal Injury Association scores at admission and final follow-up showed that the neurological function of patients improved in both groups. All patients had reached solid bony fusion during the follow-up.
Conclusion: This study presented a unique approach to use halo-vest treatment fixation of unstable cervical fracture in patients with AS. The patient should also have early surgical stabilization with a halo-vest to correct spinal deformity and avoid worsening of neurological status.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10203474 | PMC |
| http://dx.doi.org/10.3389/fsurg.2023.1129809 | DOI Listing |
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