Cervical spine fracture in ankylosing spondylitis

Case contributed by Dr Henry Knipe


Fall with headstrike.

Patient Data

Age: 85
Gender: Male

Fractured anterior osteophyte extending into the C6 vertebral body and posterior elements. Increased cervical lordosis. Extensive ossification of ALL and PLL with multilevel fusion. 

Case Discussion

Due to the multilevel fusion, minor trauma can result in severe fractures in patients with ankylosing spondylitis. Spinal cord damage is also more common in these patients. 

Colloquially, this injury is known as a "carrot stick" or "chalk stick" fracture.  

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Case information

rID: 39116
Published: 20th Aug 2015
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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