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Related Experiment Videos

Multiple spine fractures in ankylosing spondylitis.

C P Osgood, M Abbasy, T Mathews

    The Journal of Trauma
    |February 1, 1975
    PubMed
    Summary

    This report details a rare case of simultaneous cervical and thoracic spine fractures in a patient with ankylosing spondylitis. It highlights the severe instability and risks of spinal cord injury in such cases.

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    Area of Science:

    • Orthopedics
    • Rheumatology
    • Neurosurgery

    Background:

    • Ankylosing spondylitis (AS) is a chronic inflammatory disease primarily affecting the spine.
    • Spinal fractures in AS patients are uncommon but associated with significant morbidity.
    • Concomitant cervical and thoracic fractures are exceptionally rare in AS.

    Purpose of the Study:

    • To report the second case of concomitant cervical and thoracic spine fractures in a patient with advanced ankylosing spondylitis.
    • To emphasize the biomechanical instability and potential for neurological compromise in these injuries.
    • To highlight the critical importance of adequate spinal immobilization post-injury.

    Main Methods:

    • Case report of a patient with advanced ankylosing spondylitis presenting with simultaneous cervical and thoracic spine fractures.
    • Radiographic and clinical assessment of fracture patterns and stability.
    • Review of literature regarding spinal injuries in ankylosing spondylitis.

    Main Results:

    • The patient presented with a grossly unstable thoracic T9-10 interspace fracture-dislocation and a C7-T1 fracture-dislocation.
    • This case represents the second reported instance of concomitant cervical and thoracic fractures in ankylosing spondylitis.
    • The study discusses the elevated risk of spinal cord injury in AS patients with spinal fractures.

    Conclusions:

    • Concomitant cervical and thoracic spine fractures are a rare but critical complication in advanced ankylosing spondylitis.
    • These injuries are often grossly unstable, posing a high risk for spinal cord injury.
    • Inadequate immobilization following spinal fractures in AS patients, even if neurologically intact, can lead to devastating outcomes.

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