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Note:
alliedacademies Joint Event on
Global Women Health 2018 & Orthopedics Congress 2018 Archives of General Internal Medicine | ISSN: 2591-7951 | Volume 2
BREAST CANCER, GYNECOLOGY AND WOMEN HEALTH
ORTHOPEDICS AND RHEUMATOLOGY
&
World Congress on
Annual Conference on
Suhasish Ray, Arch Gen Intern Med 2018, Volume 2 | DOI: 10.4066/2591-7951-C3-008
FRACTURES IN ANKYLOSED VERTEBRAE
NEWER APPROACHES IN MANAGEMENT
Suhasish Ray
Bellevue Clinic, India
The incidence of spinal fractures in ankylosing spondylitis (AS) continues
to increase despite the improvements in medical treatment. Depleted
flexibility and altered biomechanics along with secondary osteoporosis make
them more prone to unstable spinal injuries with minor or even unknown
trauma. Difficulties in radiological assessment due to associated deformity
can often mask the diagnosis. Advanced imaging techniques and screening
of the entire spine are required in suspected cases. Surgical treatment is
generally indicated because of the inherent instability of these fractures and
frequent neurologic deficits. The choice of approach and fixation remains
controversial, especially in cervical and cervicothoracic injuries. Whatever
be the mode of treatment, the postinjury complication rates remain higher
with significant mortality risk in those having associated comorbidities and
neurological injury. However, avoidance of injury by adequate preventive
measures, a high index of suspicion and appropriate precautions in the
perioperative period can result in improved outcomes in these patients. A
systematic computerized literature search was performed using Cochrane
Database of Systematic Reviews, EMBASE, and PubMed. The publications
made over the past 10 years were analyzed. The searches were performed
using Medical Subject Headings and the subheadings used were “AS,”
“diffuse idiopathic skeletal hyperostosis,” “epidemiology,” “surgery,” “etiology,”
“management,” “surgery,” and “therapy.”
Suhasish Ray completed his MBBS. in 1996, his post
graduation in Orthopaedic surgery in 2001, his MCh
in Orthopaedic surgery in 2010, and MSc in 2017. In
the mean time he completed his Rheumatology certif-
icate course in 2008. He also has fellowships in Spine
Surgery. Currently he is the Consultant Orthopaedic,
Rheumatology and Spine Surgeon in Bellevue Clinic,
Woodlands multi-specialty hospital, and In-charge,
Spine Surgery unit Vivekananda institute of Medical
Sciences, Kolkata.
BIOGRAPHY