ArticleGlobal spine journal2018
Spine Fractures in Ankylosing Diseases: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).
Article in Global spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.
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Who cites it
61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Management of cervical fractures in ankylosing spondylitis: a ten-year systemic review of surgical and nonsurgical outcomes.Neurosurgical review · 2025Pooled it
- Korean treatment recommendations for patients with axial spondyloarthritis.The Korean journal of internal medicine · 2023Guideline
- Korean College of Rheumatology treatment recommendations for patients with axial spondyloarthritis: 2026 update.Journal of rheumatic diseases · 2026Article
- Preoperative hounsfield unit measurements predict non-infectious complications following posterior spinal instrumentation for traumatic thoracolumbar fractures.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Modified anterior long-segment fixation versus posterior and combined approaches for subaxial cervical fractures in ankylosing spondylitis: a retrospective cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Thoracolumbar extension-distraction injuries during radiologic transfers in ankylosing spinal disorders: a case series.Emergency radiology · 2026Article
- The Importance of Instrumentation Length in Ankylosing Spinal Disorders and Thoracolumbar Fractures.Journal of clinical medicine · 2026Article
- Clinical characteristics and management of spinal fractures in patients with ankylosing spondylitis: a retrospective cohort study.Journal of orthopaedic surgery and research · 2026Article
- High-flow nasal oxygen with flexible channel oxygen insufflation for ankylosing spondylitis and cervical fracture-dislocation: a case report and literature review.BMC anesthesiology · 2026Review
- Comparative biomechanical analysis of pedicle screws versus cortical bone trajectory fixation in the treatment of ankylosing spondylitis.European journal of medical research · 2026Article
- Deformity Correction in Ankylosing Spondylitis with Cervical Fracture: A Case Report.Journal of orthopaedic case reports · 2026Article
- Risk-stratified management of ankylosing spondylitis-related spinal fractures-a meta-synthesis of contemporary surgical and nonsurgical strategies: a narrative review.Journal of spine surgery (Hong Kong) · 2025Review
- Bechterew's Disease and the Risk of Spinal Fractures: Clinical Patterns, Imaging Correlation, and Outcomes.Cureus · 2025Review
- Clinical Outcomes of Transdiscal Screws for Thoracolumbar Spinal Fractures with Marked Anterior Distraction Gap Accompanied by Diffuse Idiopathic Skeletal Hyperostosis.Medicina (Kaunas, Lithuania) · 2025Article
- Esophageal Injury in Patients with Ankylosing Spondylitis After Cervical Spine Trauma: Our Case Series and Narrative Review.Medicina (Kaunas, Lithuania) · 2025Review
- Influence of Spinal Bridging Ossification on Mechanical Properties and Fracture Tolerance Under Flexion/Extension Loading.Annals of biomedical engineering · 2025Article
- Can Percutaneous Kyphoplasty Be a New Solution for Vertebral Fractures in Patients With Diffuse Idiopathic Skeletal Hyperostosis? Retrospective Study.International journal of spine surgery · 2025Article
- Do All Fractures in the Ankylotic Spine Really Require Surgical Intervention?Journal of clinical medicine · 2025Article
- Article
- [Transosseous lacerations in the ankylosed cervical spine].Unfallchirurgie (Heidelberg, Germany) · 2025Review
1 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designReview of literature and case series.
objectivesUpdate and review of current treatment concepts for spine fractures in patients with ankylosing spinal disorders.
methodsCase presentation and description of a diagnostic and therapeutic algorithm for unstable spinal injuries with an underlying ankylosing spinal disorder (ASD) of the cervical and thoracolumbar spine.
resultsNondisplaced fractures can be missed easily using conventional X-rays. Thus, computed tomography (CT) scans are recommended for all trauma patients with ASD. In doubt or presence of any neurologic involvement additional magnetic resonance imaging (MRI) scans should be obtained. Spine precautions should be maintained all times and until definitive treatment (<24 h). Nonoperative fracture treatment is not recommended given the mechanical instability of the most commonly seen fracture patterns (AOSpine B- and C-type, M2) in patients with ASD and inherent high risk of secondary neurologic deterioration. For patients with ankylosing spondylitis (AS) or diffuse idiopathic hyperostosis (DISH) sustaining cervical spine fractures, a combined anterior-posterior instrumentation for fracture fixation is recommended. Closed reduction and patient positioning can be challenging in presence of preexisting kyphotic deformities. In the thoracolumbar (TL) spine, a posterior instrumentation extending 2 to 3 levels above and below the fracture level is recommended to maintain adequate reduction and stability until fracture healing. Minimally invasive percutaneous pedicle screws and cement augmentation can help to minimize the surgical trauma and strengthen the construct stability in patients with diminished minor bone quality (osteopenia, osteoporosis).
conclusionsCurrent concepts, treatment options, and recommendations of the German Orthopedic Trauma Society-Spine Section for spinal fractures in the ankylosed spine have been outlined.
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