Ankylosing spondylitis complicated by fracture-dislocation

Case contributed by Azza Elgendy , 16 Jan 2015
Diagnosis certain
Changed by Ayush Goel, 20 Jan 2015

Updates to Case Attributes

Body was changed:

The case is advanced ankylosing spondylitis as manifested by squaring of vertebral bodies , ossifications of the anterior longitidinal ligaments , multiple syndesmophytes causing multiple undulations , shiny corner signs are also seen at multiple levels. There is advanced osteoporosis. Due to the anterior vertebral body fusions as well as the facet joint fusions any minor trauma will lead to fracture. 

There is hyperextension type fracture that involve the fused and ossified disc space. It is also extending into the posterior arch.

  • -<p>The case is advanced ankylosing spondylitis as manifested by squaring of vertebral bodies , ossifications of the anterior longitidinal ligaments , multiple syndesmophytes causing multiple undulations , shiny corner signs are also seen at multiple levels. There is advanced osteoporosis. Due to the anterior vertebral body fusions as well as the facet joint fusions any minor trauma will lead to fracture. </p><p>There is hyperextension type fracture that involve the fused and ossified disc space. It is also extending into the posterior arch . </p><p> </p>
  • +<p>The case is advanced ankylosing spondylitis as manifested by squaring of vertebral bodies , ossifications of the anterior longitidinal ligaments , multiple syndesmophytes causing multiple undulations , shiny corner signs are also seen at multiple levels. There is advanced osteoporosis. Due to the anterior vertebral body fusions as well as the facet joint fusions any minor trauma will lead to fracture. </p><p>There is hyperextension type fracture that involve the fused and ossified disc space. It is also extending into the posterior arch.</p>

References changed:

  • 1. Bochkova AG, Levshakova AV, Bunchuk NV et-al. Spinal inflammation lesions as detected by magnetic resonance imaging in patients with early ankylosing spondylitis are more often observed in posterior structures of the spine. Rheumatology (Oxford). 2010;49 (4): 749-55. <a href="http://dx.doi.org/10.1093/rheumatology/kep419">doi:10.1093/rheumatology/kep419</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/20083538">Pubmed citation</a><span class="auto"></span>
  • Bochkova AG. Spinal inflammation lesions as detected by magnetic resonance imaging in patients with early ankylosing spondylitis are more often observed in posterior structures of the spine.PMID: 20083538 [PubMed - indexed for MEDLINE]

Systems changed:

  • Musculoskeletal

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