Fatal Isolated Cervical Spine Injury in a Patient with Ankylosing Spondylitis: A Case Report

Study Design Case report. Objective The purpose of the present case report was to present a patient with a history of ankylosing spondylitis who sustained a dislocation of C6 on C7 and died soon after his presentation in the emergency room (ER). Methods An 88-year-old man was brought to the ER due t...

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Detalles Bibliográficos
Autores principales: Gelalis, Ioannis D., Lykissas, Marios G., Dimou, Apostolos A., Giannoulis, Dionysios K., Beris, Alexandros E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2015
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4472300/
https://www.ncbi.nlm.nih.gov/pubmed/26131398
http://dx.doi.org/10.1055/s-0035-1549430
Descripción
Sumario:Study Design Case report. Objective The purpose of the present case report was to present a patient with a history of ankylosing spondylitis who sustained a dislocation of C6 on C7 and died soon after his presentation in the emergency room (ER). Methods An 88-year-old man was brought to the ER due to a neck injury secondary to a fall. Imaging of the cervical spine revealed anterior dislocation of C6 on C7 and the characteristic “bamboo” spine of ankylosing spondylitis. Results The patient died within 30 minutes due to respiratory insufficiency. Conclusion Isolated cervical spine injuries in patients with ankylosing spondylitis can be fatal. A high degree of clinical suspicion, thorough imaging with computed tomography, and meticulous handling are required in this patient population.

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