FRACTURES IN ANKYLOSED VERTEBRAE NEWER APPROACHES IN MANAGEMENT

doi:10.4066/2591-7951-C3-008

FRACTURES IN ANKYLOSED VERTEBRAE NEWER APPROACHES IN MANAGEMENT

Joint Event on World Congress on BREAST CANCER, GYNECOLOGY AND WOMEN HEALTH & Annual Conference on ORTHOPEDICS AND RHEUMATOLOGY
September 06-07, 2018 | Bangkok ,Thailand

Suhasish Ray

Bellevue Clinic, India

Scientific Tracks Abstracts : Arch Gen Intern Med

DOI: 10.4066/2591-7951-C3-008

Abstract:

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.”

Biography:

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 certificate 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.

E-mail: suhasishray@gmail.com

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