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- P J May, J Raunest, J Herdmann, and M Jonas.
- Klinik für Unfallchirurgie, Krankenhaus Neuwerk, Mönchengladbach, Dünner Strasse 214-216, 41066 Mönchengladbach.
- Unfallchirurg. 2002 Feb 1; 105 (2): 165-9.
AbstractClinical guidelines for the treatment of vertebral fractures associated with ankylosing spondylitis are derived from case reports and a review of literature. The coincidence of paravertebral calcifications and fracture formations leads to problems in the establishment of a proper initial diagnosis. Therefore computed tomography and magnetic resonance imaging have to be employed to define the extent of fracture and the presence of spinal lesions. As a rule vertebral fractures based upon spondylitic alterations are extremely unstable and tend to secondary dislocation with a high risk of spinal cord injuries. Operative osteosynthesis is the method of choice in the fracture treatment. A successful stabilization requires an extended spondylodesis comprising at least five vertebral segments by a dorsal or a combined ventral instrumentation.
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