Spinal cord · 1999
Occult vertebral fractures in ankylosing spondylitis.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Finkelstein J A, Chapman J R, Mirza S
Аннотация
STUDY DESIGN: A retrospective review of patients with ankylosing spondylitis involved in a blunt trauma.
SETTING: Patients referred to two Level I tra uma centers.
OBJECTIVES: To determine the incidence and clinical sequelae in thi s patient population where vertebral injury was diagnosed on a delayed basis.
SUMMARY OF BACKGROUND DATA: The ankylosed spine is at increased risk for fracture and spinal cord injury. Radiological identification of injury is more difficult than in the normal spine.
RESULTS: Over a 5 year period, 21 patients were identified with seven having an occult vertebral fracture not recognized as the primary injury or occurring as a second non-contiguous injury level. In these cases, delay in diagnosis of the occult injury was from 3 to 22 days. Development of secondary neurological deficits occurred in three patients.
CONCLUSIONS: A high index of suspicion and an appreciation of the extreme instability of a fracture in ankylosing spondylitis must be present.
SETTING: Patients referred to two Level I tra uma centers.
OBJECTIVES: To determine the incidence and clinical sequelae in thi s patient population where vertebral injury was diagnosed on a delayed basis.
SUMMARY OF BACKGROUND DATA: The ankylosed spine is at increased risk for fracture and spinal cord injury. Radiological identification of injury is more difficult than in the normal spine.
RESULTS: Over a 5 year period, 21 patients were identified with seven having an occult vertebral fracture not recognized as the primary injury or occurring as a second non-contiguous injury level. In these cases, delay in diagnosis of the occult injury was from 3 to 22 days. Development of secondary neurological deficits occurred in three patients.
CONCLUSIONS: A high index of suspicion and an appreciation of the extreme instability of a fracture in ankylosing spondylitis must be present.