Reduction and Stabilization of an Extension-Distraction Injury in a Patient with Ankylosing Spondylitis

• DOI: 10.2106/jbjs.cc.22.00368
• Publication Date: 2022-10-14T19:19:19Z
• Authors: John Francis Burke; Vaibhav Tadepalli; Jialun Chi; Xudong Joshua Li
• Keywords: Aged, 80 and over; Male; 03 medical and health sciences; Lumbar Vertebrae; Spinal Fusion; 0302 clinical medicine; Pedicle Screws; Humans; Spinal Fractures; Spondylitis, Ankylosing; 3. Good health

The authors reported a case of an 83-year-old man with ankylosing spondylitis throughout the cervical, thoracic, and lumbar spine who sustained three-column T10 osteoligamentous extension-distraction injury after low-energy trauma. A closed reduction was performed using incremental flexion on variable flexion-extension table subsequent stabilization robotic-assisted percutaneous pedicle screw placement. Postoperative radiographs at 7-month follow-up showed intact implants adequate alignment patient remaining neurological baseline.A method through placement is safe appropriate to achieve spinal realignment in select patients.