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

Eghbal, Keyvan; Kamran, Hooman; Salimi, Amirhossein; Mamaghani, Hesan Jelodari; Salimi, Maryam

doi:10.1016/j.ijscr.2022.107067

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…In our country, high-energy blunt trauma can occur as a result of various mechanisms: the most common causes are motor vehicle accidents and falls from heights [1,2]. Road injuries are a leading cause of morbidity and mortality worldwide.…”

Section: Introductionmentioning

confidence: 99%

Thromboembolic Events among Multiple Trauma Victims with Pelvic Fractures with Injury Severity Score Greater Than 16 with and without Deep Vein Thrombosis Prophylactic Doses of Enoxaparin

2022

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Introduction: Venous thromboembolism (VTE) is a common life-threatening complication in patients affected by severe trauma. The clinical manifestations of VTE are deep venous thrombosis (DVT) and pulmonary embolism (PE). Various prophylactic pharmacological strategies are used.We studied the efficacy of enoxaparin in preventing VTE in our level 1 trauma center. Materials and Methods:This cross-sectional study included patients with polytrauma with an Injury Severity Score (ISS) of greater than 16 units and a pelvis fracture diagnosis. Clinical features, laboratory data, and images were reviewed from medical documents. Moreover, the prophylactic medication regimens were recorded. Development of VTE was identified in patients, and a p-value <0.05 was considered statistically significant.Results: A total of 327 patients were examined, of which 18 had developed VTE (5.5%). The frequency was relatively higher in males, cases with fractures, and cases with a history of VTE.Patients with two or more pelvic fracture sites and those with a history of VTE manifested are statistically more likely to develop VTE than those with fewer than two pelvic fracture sites and no history of VTE (p-value = 0.02 and 0.006, respectively). Moreover, the administration of prophylactic doses of enoxaparin n had no statistically significant effect on VTE prevention (pvalue = 0.08). Conclusion:In conclusion, we found no significant correlation between the prophylactic doses of enoxaparin and VTE probability. Furthermore, a history of VTE and more fracture sites would increase the probability of VTE.

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Section: Introductionmentioning

confidence: 99%

Thromboembolic Events among Multiple Trauma Victims with Pelvic Fractures with Injury Severity Score Greater Than 16 with and without Deep Vein Thrombosis Prophylactic Doses of Enoxaparin

2022

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“…Risks of osteoporosis and consequent vertebral fracture are increased in AS patients[ 3 ] and rarely fracture on odontoid process is reported. [ 4 ] Also, the low bone mineral density is associated with syndesmophyte progression in patients with AS. [ 5 ] Therefore, physicians should be aware of possibility of fracture or syndesmophyte progression on odontoid process when pain on upper cervical area occurs in AS patients.…”

mentioning

confidence: 99%

Solitary syndesmophyte in odontoid process of a patient with ankylosing spondylitis

Min,

Kim,

Kim

et al. 2022

Arch Rheumatol

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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

Cited by 2 publications

References 29 publications

Thromboembolic Events among Multiple Trauma Victims with Pelvic Fractures with Injury Severity Score Greater Than 16 with and without Deep Vein Thrombosis Prophylactic Doses of Enoxaparin

Thromboembolic Events among Multiple Trauma Victims with Pelvic Fractures with Injury Severity Score Greater Than 16 with and without Deep Vein Thrombosis Prophylactic Doses of Enoxaparin

Solitary syndesmophyte in odontoid process of a patient with ankylosing spondylitis

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