Traumatic Death due to Simultaneous Double Spine Fractures in Patient with Ankylosing Spondylitis
The aim of this study is to report the rare occurrence of simultaneous double spine fractures in a patient with progressive ankylosing spondylitis (AS). An 82-year-old male with established AS had low-energy falls. He had sustained simultaneous double spine fractures and died. Plain radiographs of t...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/590935 |
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| author | Mitsuru Yagi Shunsuke Sato Atsushi Miyake Takashi Asazuma |
| author_facet | Mitsuru Yagi Shunsuke Sato Atsushi Miyake Takashi Asazuma |
| author_sort | Mitsuru Yagi |
| collection | DOAJ |
| description | The aim of this study is to report the rare occurrence of simultaneous double spine fractures in a patient with progressive ankylosing spondylitis (AS). An 82-year-old male with established AS had low-energy falls. He had sustained simultaneous double spine fractures and died. Plain radiographs of the cervical spine were unremarkable in detecting a cervical spine fracture in a patient with AS and a spinal cord injury following a fall. CT scan showed a displaced fracture at the C6/C7 with American Spinal Injury Association-A spinal cord injury and displaced fracture at L1. The cause of death was determined to be upper spinal cord injury caused by cervical spinal fracture and dislocation that were facilitated by spinal rigidity from AS. This case report illustrates the importance of obtaining a detailed medical history and thorough imaging study when investigating deaths, including nonfatal conditions, such as AS. Furthermore, it shows the value of entire spine CT scan in the evaluation of the mechanism, further spine fractures, and manner of death. Despite the occurrence of spine fracture in AS patients, simultaneous double or multiple spine fractures are
extremely rare and can be missed. Care should be taken for the further spine fracture in the entire spine in patient with AS. |
| format | Article |
| id | doaj-art-f07691532ca7455c8855d8267dd49102 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-f07691532ca7455c8855d8267dd491022025-02-03T01:26:12ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/590935590935Traumatic Death due to Simultaneous Double Spine Fractures in Patient with Ankylosing SpondylitisMitsuru Yagi0Shunsuke Sato1Atsushi Miyake2Takashi Asazuma3Department of Orthopedic Surgery, National Hospital Organization Murayama Medical Center, JapanDepartment of Orthopedic Surgery, National Hospital Organization Murayama Medical Center, JapanDepartment of Orthopedic Surgery, National Hospital Organization Murayama Medical Center, JapanDepartment of Orthopedic Surgery, National Hospital Organization Murayama Medical Center, JapanThe aim of this study is to report the rare occurrence of simultaneous double spine fractures in a patient with progressive ankylosing spondylitis (AS). An 82-year-old male with established AS had low-energy falls. He had sustained simultaneous double spine fractures and died. Plain radiographs of the cervical spine were unremarkable in detecting a cervical spine fracture in a patient with AS and a spinal cord injury following a fall. CT scan showed a displaced fracture at the C6/C7 with American Spinal Injury Association-A spinal cord injury and displaced fracture at L1. The cause of death was determined to be upper spinal cord injury caused by cervical spinal fracture and dislocation that were facilitated by spinal rigidity from AS. This case report illustrates the importance of obtaining a detailed medical history and thorough imaging study when investigating deaths, including nonfatal conditions, such as AS. Furthermore, it shows the value of entire spine CT scan in the evaluation of the mechanism, further spine fractures, and manner of death. Despite the occurrence of spine fracture in AS patients, simultaneous double or multiple spine fractures are extremely rare and can be missed. Care should be taken for the further spine fracture in the entire spine in patient with AS.http://dx.doi.org/10.1155/2015/590935 |
| spellingShingle | Mitsuru Yagi Shunsuke Sato Atsushi Miyake Takashi Asazuma Traumatic Death due to Simultaneous Double Spine Fractures in Patient with Ankylosing Spondylitis Case Reports in Orthopedics |
| title | Traumatic Death due to Simultaneous Double Spine Fractures in Patient with Ankylosing Spondylitis |
| title_full | Traumatic Death due to Simultaneous Double Spine Fractures in Patient with Ankylosing Spondylitis |
| title_fullStr | Traumatic Death due to Simultaneous Double Spine Fractures in Patient with Ankylosing Spondylitis |
| title_full_unstemmed | Traumatic Death due to Simultaneous Double Spine Fractures in Patient with Ankylosing Spondylitis |
| title_short | Traumatic Death due to Simultaneous Double Spine Fractures in Patient with Ankylosing Spondylitis |
| title_sort | traumatic death due to simultaneous double spine fractures in patient with ankylosing spondylitis |
| url | http://dx.doi.org/10.1155/2015/590935 |
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