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Traumatic death in ankylosing spondylitis.

Asser H Thomsen¹, Anne Grethe Jurik, Lars Uhrenholt

¹Department of Forensic Medicine, Aarhus University, Brendstrupgaards Vej 100, Aarhus N DK-8200, Denmark. aht@retsmedicin.au.dk

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|April 14, 2010

Summary

Ankylosing spondylitis (AS) caused spinal rigidity, leading to fatal cervical fractures after a fall. This case highlights the importance of medical history in death investigations and CT

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Area of Science:

Rheumatology
Forensic Pathology
Radiology

Background:

Ankylosing spondylitis (AS) is a chronic inflammatory disease impacting the spine.
Spinal rigidity in AS patients increases fracture risk, particularly during trauma.
Understanding AS-related complications is crucial for patient care and forensic analysis.

Observation:

A middle-aged male with a history of AS died after a fall from a bicycle.
Postmortem CT revealed cervical and thoracic spine fractures with spinal canal displacement.
The fractures were consistent with spinal rigidity caused by AS.

Findings:

The cause of death was upper spinal cord injury secondary to cervical fractures.
These fractures were facilitated by the spinal rigidity associated with AS.
Computed tomography (CT) proved valuable in determining the mechanism and manner of death.

Implications:

Emphasizes the need for comprehensive medical histories in death investigations, including chronic conditions like AS.
Demonstrates the utility of advanced imaging (CT) in forensic pathology for evaluating trauma and underlying conditions.
Highlights potential mortality risks associated with AS, even in seemingly healthy individuals, following minor trauma.