Leading a Patient of Ankylosing Spondylitis to Death by Iatrogenic Spinal Fracture
Korean Journal of Spine
;
: 80-82, 2016.
Article
in English
| WPRIM
| ID: wpr-168434
ABSTRACT
Fractures in ankylosing spondylitis (AS) are often difficult to identify and treat. If combined with osteoporosis, the spine becomes weaker and vulnerable to minor trauma. An 83-year-old woman with a history of chronic AS and severe osteoporosis developed paraparesis and voiding difficulty for 4 days prior. She had been placed in the lateral decubitus position in a bedridden state in a convalescent hospital due to the progressive paraparesis. The laboratory findings showed CO₂ retention in the arterial blood gas analysis. After the patient was transferred to the computed tomography (CT) room, a CT was taken in the supine position. Approximately half an hour later, the resident in our neurosurgical department checked on her, and the neurological examination showed a complete paraplegic state. She was treated conservatively and finally expired 20 days later.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteoporosis
/
Spine
/
Spondylitis, Ankylosing
/
Blood Gas Analysis
/
Spinal Fractures
/
Supine Position
/
Paraparesis
/
Hospitals, Convalescent
/
Neurologic Examination
Type of study:
Prognostic study
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
English
Journal:
Korean Journal of Spine
Year:
2016
Type:
Article
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