Iatrogenic Spinal Cord Injury in a Trauma Patient with Ankylosing Spondylitis

2017 ◽  
Vol 21 (3) ◽  
pp. 390-394 ◽  
Author(s):  
Ahmad Maarouf ◽  
Colleen M. McQuown ◽  
Jennifer A. Frey ◽  
Rami A. Ahmed ◽  
Lisa Derrick
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Ankylosing Spondylitis ◽  
Trauma Patient ◽  
Cord Injury

scholarly journals Evolution of traumatic spinal cord injury in patients with ankylosing spondylitis, in a Romanian rehabilitation clinic

2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Aurelian Anghelescu ◽  
Liliana Valentina Onose ◽  
Cristina Popescu ◽  
Ioana Andone ◽  
Cristina Octaviana Daia ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Ankylosing Spondylitis ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury ◽  
Rehabilitation Clinic

A Case Report of Ankylosing Spondylitis with Spinal Cord Injury.

1999 ◽  
Vol 48 (1) ◽  
pp. 1-6
Author(s):  
Tatsunobu Abe ◽  
Toyonobu Yoshimura ◽  
Shigetoshi Ito ◽  
Mari Araki ◽  
Hiroshi Kawaguchi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Ankylosing Spondylitis ◽  
Cord Injury

scholarly journals Cervical spinal cord injury complicating ankylosing spondylitis

Spinal Cord ◽  
1985 ◽  
Vol 23 (6) ◽  
pp. 358-363 ◽  
Author(s):  
Dominic Foo ◽  
Mehdi Sarkarati ◽  
Victoria Marcelino
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Ankylosing Spondylitis ◽  
Cervical Spinal Cord ◽  
Cervical Spinal Cord Injury ◽  
Cord Injury

Spinal cord injury, spinal fracture, and spinal stenosis in ankylosing spondylitis

1982 ◽  
Vol 57 (5) ◽  
pp. 609-616 ◽  
Author(s):  
Philip R. Weinstein ◽  
Robert R. Karpman ◽  
Eric P. Gall ◽  
Michael Pitt
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Ankylosing Spondylitis ◽  
Spinal Stenosis ◽  
Spinal Fracture ◽  
Fracture Site ◽  
Morbidity Rate ◽  
Cervical Spine Fracture ◽  
Cord Injury ◽  
Traumatic Fracture

✓ The authors report a retrospective review of 105 patients with ankylosing spondylitis (AS) diagnosed over a 6-year period in Tucson, Arizona. In the series, there were 13 patients with spinal fracture and eight with severe spinal cord injury. Two patients with central cord contusion had no demonstrable cervical spine fracture. Injury was often trivial and dislocation at fracture sites was minimal, demonstrating the extreme fragility of these patients. Spinal stenosis, which has not previously been associated with AS, was documented in three cases. Pseudarthrosis, a destructive vertebral lesion that does not require surgical decompression or fusion, was found in four patients; this entity is believed to originate as a pathological or traumatic fracture. Atlanto-axial subluxation and basilar invagination associated with spinal ankylosis occurred in one patient. The study emphasizes the value of computerized tomography scanning of the spine for diagnosis, and halo-vest application as a nonoperative treatment for cervical immobilization. Early diagnosis and appropriate therapy to decompress, reduce, and immobilize unstable spinal lesions may result in reduction of the 29% mortality rate and 46% permanent neurological morbidity rate observed after spinal fracture in this series of AS patients. Because of the high operative complication rate observed, nonsurgical immobilization is the recommended treatment unless spinal dislocation or bone fragment displacement has occurred at the fracture site.

scholarly journals Management of cervical deformity in ankylosing spondylitis

2008 ◽  
Vol 24 (1) ◽  
pp. E9 ◽  
Author(s):  
Daniel J. Hoh ◽  
Paul Khoueir ◽  
Michael Y. Wang
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Ankylosing Spondylitis ◽  
Spinal Instrumentation ◽  
Primary Treatment ◽  
Neurological Injury ◽  
Flexion Deformity ◽  
Cervical Kyphosis ◽  
Effective Treatment Modality ◽  
Cord Injury

✓ Ankylosing spondylitis can lead to severe cervical kyphosis, causing problems with forward vision, swallowing, hygiene, patient functionality, and social outlook. Evaluation of patients with cervical flexion deformity includes assessment of global sagittal balance and chin–brow angle. The primary treatment in extreme disabling cases is surgical correction involving a posterior cervical extension osteotomy, which is a technically demanding procedure with considerable risk of neurological injury. To address the potential complications with extension osteotomy, the authors of several reports have described modifications to the surgical technique. These developments incorporate recent advances in anesthesia, neuromonitoring, and spinal instrumentation. Complications associated with the procedure include subluxation at the osteotomy level, spinal cord injury, radiculopathy, dysphagia, and pseudarthrosis. Although the risks of spinal correction are considerable, extension osteotomy remains an effective treatment modality for patients with disabling cervical flexion deformity.

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