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Axis fracture in ankylosing spondylitis: case report
J J Gartman1, E Bullitt, M L Baker
1Division of Neurological Surgery, University of North Carolina, Chapel Hill, North Carolina.
Neurosurgery
|October 11, 1991
Summary
Ankylosing spondylitis can cause spontaneous C1-C2 complex fractures, increasing neurological damage risk. This case highlights the importance of prompt management for such spinal injuries.
Area of Science:
- Spine Surgery
- Neurology
- Rheumatology
Background:
- Ankylosing spondylitis (AS) is a chronic inflammatory disease leading to spinal fusion.
- This fusion creates a rigid, brittle spine, increasing fracture risk.
- Fractures in AS patients carry a higher risk of neurological compromise.
Observation:
- A spontaneous fracture of the C1-C2 complex through the base of the dens occurred.
- The patient presented with impending neurological deficits.
- This type of fracture is rare but critical in AS patients.
Findings:
- The case demonstrates a unique C1-C2 complex fracture in an ankylosing spondylitis patient.
- Impending neurological deficits were noted, emphasizing the severity.
- Literature review highlights management challenges for these fractures.
Implications:
- Early recognition and management are crucial to prevent neurological damage.
- This case underscores the need for vigilance regarding spinal fractures in AS.
- Optimal management strategies for C1-C2 fractures in AS require further study.