AUTHOR=Wang Liang , Qiu Youcai , Wang Can , Liu Tielong , Lu Xuhua TITLE=One-stage surgery by a halo-vest to treat simultaneous double spine fractures–dislocation in a patient with ankylosing spondylitis: case report and review of literature JOURNAL=Frontiers in Surgery VOLUME=11 YEAR=2024 URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2024.1383550 DOI=10.3389/fsurg.2024.1383550 ISSN=2296-875X ABSTRACT=Study Design

A case report.

Background

In this study, we report the outcome of one-stage surgery using a halo-vest to treat simultaneous double spine fractures–dislocation in a patient with ankylosing spondylitis (AS).

Case presentation

We report a case of a 57-year-old male patient with AS who sustained simultaneous double spine fractures due to a traffic accident. We performed an open approach after successful closed reduction using a halo-vest. At the 1-year follow-up, we finally achieved bone union after postoperative. At the 3-year follow-up visit, he reported a significant resolution of both cervical and back pain and had returned to his routine daily activities.

Conclusion

This is the first report of using a halo-vest to treat simultaneous double spine fractures–dislocation in a patient with AS. The authors included five research studies that situate this case study in the existing literature and highlight a gap in current knowledge. Based on our experience with this case and a review of the literature, one-stage surgery by a halo-vest is an effective option for the treatment of simultaneous double spine fractures–dislocation in patients with AS.