Fatal Isolated Cervical Spine Injury in a Patient with Ankylosing Spondylitis: A Case Report.
case_report · Level V
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- Record sourced from PubMed, PMID 26131398.
- Also identified by DOI 10.1055/s-0035-1549430 and PMC identifier 4472300.
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Abstract
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.
Anatomy
- cervical spine