An Occult Fracture in a Ankylosing Spondylitis Patient
Journal of Korean Neurosurgical Society
;
: 146-151, 1997.
Article
in Korean
| WPRIM
| ID: wpr-212835
ABSTRACT
A61-year-old head-injured patient exhibited acute onset of paraplegia during hospital in-care. Review of radiographs showed an occult linear transverse fracture line between the T11 and T12 vertebrae. An MRI scan performed after paraplegia showed compression of the spinal cord by a bony fragment. This case report presents a rare but devastating complication of an occult fracture at the T-L junction in patient with ankylosing spondylitis which was considered less significant due to more severe head injury. Thorough clinical and roentgenographic examination of the entire vertebral column is recommended in patients with ankylosing spondylitis who have sustained injury. Even if minor spinal trauma occurs in such clinical setting, the condition should be managed as a spinal fracture with potentially serious neurologic complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Spinal Cord
/
Spine
/
Spondylitis, Ankylosing
/
Magnetic Resonance Imaging
/
Spinal Fractures
/
Fractures, Closed
/
Craniocerebral Trauma
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Neurosurgical Society
Year:
1997
Type:
Article
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