From: Spinal cord injury and spinal fracture in patients with ankylosing spondylitis
Variables | Whole cohort (N = 105) | Group1: SCI alone (n = 11) | Group 2: Fracture alone (n = 45) | Group 3: SCI and fracture (n = 49) | P value |
---|---|---|---|---|---|
Male | 100 (95.2) | 10 (90.9) | 42 (93.3) | 48 (98.0) | 0.312 |
Age (year) | 56.2 ± 12.3 | 55.9 ± 6.2 | 55.9 ± 15.3 | 56.6 ± 10.2 | 0.968 |
Low-energy trauma | 53 (50.5) | 6 (54.5) | 24 (53.3) | 23 (46.9) | 0.814 |
Subluxation or dislocation | 33 (31.4) | 1 (9.1)a | 4 (8.9)a | 28 (57.1) | < 0.001 |
Location of spinal fractures | < 0.001 | ||||
None | 11 (10.5) | 11 (100.0)a | 0 (0.0)b | 0 (0.0) | |
C0-2 | 5 (4.8) | 0 (0.0) | 4 (8.9) | 1 (2.0) | |
C3-7 | 37 (35.2) | 0 (0.0)a | 5 (11.1)a | 32 (65.3) | |
T | 28 (26.7) | 0 (0.0) | 20 (44.4)ab | 8 (16.3) | |
L | 15 (14.3) | 0 (0.0) | 14 (31.1)ab | 1 (2.0) | |
Multiple regions involved | 9 (8.6) | 0 (0.0) | 2 (4.4) | 7 (14.3) | |
Spinal fracture classification | < 0.001 | ||||
None | 11 (10.5) | 11 (100.0)a | 0 (0.0)b | 0 (0.0) | |
A01-A4 | 13 (12.4) | 0 (0.0) | 11 (24.4)a | 2 (4.1) | |
B1-B3 | 42 (40.0) | 0 (0.0)a | 18 (40.0)b | 24 (49.0) | |
C | 36 (34.3) | 0 (0.0)a | 13 (28.9)b | 23 (46.9) | |
Others | 3 (2.9) | 0 (0.0) | 3 (6.7) | 0 (0.0) | |
Location of SEH | 0.006 | ||||
None | 91 (86.7) | 11 (100.0) | 44 (97.8)a | 36 (73.5) | |
C | 8 (7.6) | 0 (0.0) | 0 (0.0)a | 8 (16.3) | |
C-T | 4 (3.8) | 0 (0.0) | 0 (0.0) | 4 (8.2) | |
L, T-L | 2 (1.9) | 0 (0.0) | 1 (2.2) | 1 (2.0) | |
Bamboo spine | 78 (74.3) | 4 (36.4)a | 31 (68.9)ab | 43 (87.8) | 0.001 |
Delayed diagnosis | 33 (31.4) | 0 (0.0) | 21 (46.7)ab | 12 (24.5) | 0.003 |
Delayed diagnosis type (n = 33) | 1.000 | ||||
Doctor | 6 (18.2) | 0 (0.0) | 4 (19.0) | 2 (16.7) | |
Patient | 27 (81.8) | 0 (0.0) | 17 (81.0) | 10 (83.3) | |
Delayed diagnosis days (n = 33) | 19.8 ± 20.4 | - | 26.0 ± 22.5 | 9.1 ± 9.2 | - |
SEH | 14 (13.3) | 0 (0.0) | 1 (2.2)a | 13 (26.5) | 0.001 |
Complication | 32 (30.5) | 1 (9.1)a | 6 (13.3)a | 25 (51.0) | < 0.001 |
Complication, infection | 24 (22.9) | 1 (9.1)a | 3 (6.7)a | 20 (40.8) | < 0.001 |