ArticleScientific reports2021
Biomechanical influence of the surgical approaches, implant length and density in stabilizing ankylosing spondylitis cervical spine fracture.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- 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
- Ankylosing spondylitis complicated by cervical spine fracture and cervicothoracic epidural hematoma: A case report.Medicine · 2025Article
- Review
- Management of Cervical Spinal Fractures With Ankylosing Spondylitis by Single-Anterior Surgery: A Case Series Report and Literature Review.Orthopaedic surgery · 2025Review
- Lateral position posterior surgery followed by supine position anterior surgery in a single stage (LP-A) for the treatment of cervical spinal cord anterior severe dynamic compression in short-term.Journal of orthopaedic surgery and research · 2025Article
- Evaluation of the effect of cervical spine bone distribution on fixation in ankylosing spondylitis.Frontiers in bioengineering and biotechnology · 2025Article
- [Traumatic injuries in ankylosing spinal diseases].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Simplified S1 vertebral bone quality score independently predicts proximal junctional kyphosis after surgery for degenerative lumbar scoliosis.Journal of orthopaedic surgery and research · 2024Review
- Significant Reduction in Bone Density as Measured by Hounsfield Units in Patients with Ankylosing Spondylitis or Diffuse Idiopathic Skeletal Hyperostosis.Journal of clinical medicine · 2024Article
- Exploring the micromorphological characteristics of adult lower cervical vertebrae based on micro-computed tomography.Scientific reports · 2023Article
- A Novel Classification of Cervical Spine Trauma in Ankylosing Spondylitis and Corresponding Surgical Outcomes.Orthopaedic surgery · 2023Article
- Odontoid fracture complicating ankylosing spondylitis presenting with cervical canal stenosis and quadriparesis: A case report with 5-year follow-up and review of the literature.International journal of surgery case reports · 2022Article
- Neglected floating cervical spine fracture with myelopathy and Anderson lesion of D2 D3: report of an unusual case.Spinal cord series and cases · 2022Article
- Ankylosing spondylitis traumatic subaxial cervical fractures - An updated treatment algorithm.Journal of craniovertebral junction & spineReview
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Ankylosing spondylitis cervical spine fractures (ASCFs) are particularly unstable and need special consideration when selecting appropriate internal fixation technology. However, there is a lack of related biomechanical studies. This study aimed to investigate the biomechanical influence of the pattern, length, and density of instrumentation for the treatment of ASCF. Posterior, anterior, and various combined fixation approaches were constructed using the finite element model (FEM) to mimic the surgical treatment of ASCFs at C5/6. The rate of motion change (RMC) at the fractured level and the internal stress distribution (ISD) were observed. The results showed that longer segments of fixation and combined fixation approaches provided better stability and lowered the maximal stress. The RMC decreased more significantly when the length increased from 1 to 3 levels (302% decrease under flexion, 134% decrease under extension) than from 3 to 5 levels (22% decrease under flexion, 23% decrease under extension). Longer fixation seems to be more stable with the anterior/posterior approach alone, but 3-level posterior fixation may be the most cost-effective option. It is recommended to perform surgery with combined approaches, which provide the best stability. Long skipped-screwing posterior fixation is an alternative technique for use in ASCF patients.
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