Vertebral fracture - ankylosing spondylitis

Case contributed by Dr Ammar Haouimi

Presentation

Fall from a height of 2 meters.

Patient Data

Age: 55 years
Gender: Female

The CT scan demonstrates:

  • compression fracture of the inferior vertebral endplate of T12 with no displacement of the posterior vertebral wall or intraspinal bony fragment
  • signs of ankylosing spondylitis (incidental finding):
    •  shiny corner sign of the anterosuperior corners from L2 to  L5 representing reactive sclerosis secondary to inflammatory erosions of the superior and inferior endplates of the vertebral bodies known as Romanus lesions
    • bilateral sacroiliitis
    • bilateral costovertebral arthritis at T11 and T12

Case Discussion

CT features suggestive of ankylosing spondylitis (incidental finding) in a patient with a vertebral fracture.

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