Multiple and simultaneous spine fractures in ankylosing spondylitis: case report.

摘要: Study Design. A case report. Objective. To report the unique occurrence and treatment of multiple simultaneous spine fractures in a patient with progressed ankylosing spondylitis preexisting multilevel instrumentation. Summary Background Data. Ankylosing is complex inflammatory arthritic condition that renders more susceptible to fracture than individuals who do not have spondylitis. our knowledge, spondylitis, nonregion-specific fractures, role internal instrumentation subsequent development been addressed literature. Methods. An 81-year-old white male had 2 low-energy falls, resulting 3 fractures. During first fall, he displaced at T11–T12 level without spinal cord injury. Fracture entailed posterior fusion T8-L2 immobilization after surgery thoracolumbosacral orthosis brace, which led successful healing Approximately years later, second presented C6–C7 L2–L3 levels, an American Spinal Injury Association-A The cervical lumbar were both treatedoperatively via 2-staged approach segmental C3–T3 L2–L5, respectively. soft collar brace worn surgery. There no intraoperative complications. Results. Although anatomic reduction stable fixation injuries achieved, patient’s neurologic status following injury remained unchanged. His postoperative course was complicated by pulmonary failure ultimately resulted death 3-month time. Conclusions. Patients strong susceptibility from minor trauma, can devastating outcomes. Nonregion-specific occur, require thorough radiographic evaluation imaging entire axis, appropriate operative planning, meticulous perioperative treatment. Preexisting may predispose even traumatic event. As such, clinician should be cognizant possible existence patients