Cervical spine fracture - ankylosing spondylitis
Updates to Case Attributes
References changed:
- 1. Broom MJ, Raycroft JF. Complications of fractures of the cervical spine in ankylosing spondylitis. (1988) Spine. 13 (7): 763-6. <a href="https://doi.org/10.1097/00007632-198807000-00009">doi:10.1097/00007632-198807000-00009</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/3194784">Pubmed</a> <span class="ref_v4"></span>
- 2. C. Olerud, A. Frost, J. Bring. Spinal fractures in patients with ankylosing spondylitis. (1996) European Spine Journal. 5 (1): 51. <a href="https://doi.org/10.1007/BF00307827">doi:10.1007/BF00307827</a> <span class="ref_v4"></span>
- 3. Thomas Hunter, Hyman I. C. Dubo. Spinal Fractures Complicating Ankylosing Spondylitis. (1983) Arthritis & Rheumatism. 26 (6): 751. <a href="https://doi.org/10.1002/art.1780260608">doi:10.1002/art.1780260608</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/6860376">Pubmed</a> <span class="ref_v4"></span>
- BROOM MJ, RAYCROFT JF. Complications of Fractures of the Cervical Spine in Ankylosing Spondylitis. Spine. 1988;13(7):763-766.
- C. Olerud, A. Frost, J. Bring. Spinal fractures in patients with ankylosing spondylitis. (1996) European Spine Journal. 5 (1): 51. <a href="https://doi.org/10.1007/BF00307827">doi:10.1007/BF00307827</a> <span class="ref_v4"></span>
- Hunter, Thomas, and Hyman IC Dubo. "Spinal fractures complicating ankylosing spondylitis." Arthritis & Rheumatism: Official Journal of the American College of Rheumatology 26.6 (1983): 751-759.
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Updates to Study Attributes
Patient with known ankylosing spondylitis resulting in extensive bridging syndesmophytes and facet ankylosis of the cervical and visualized thoracic spine.
There is a transverse fracture through the superior aspect of the C4 vertebral body. The fracture is parallel to and extends through the superior vertebral end plate and also through the posterior elements with involvement of the left lamina of C4 and C5 and thethe distal tip of the C3 spinous process. There is also a fracture of ossified right ligamentum flavum at the level of C3-C4, which is minimally displaced into the spinal canal, with also extension to the base of the C4 spinous process. Associated mild central canal stenosis is noted. There is minimal anterior widening of the fracture through the C4 vertebral body. No traumatic listhesisspondylolisthesis.
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