• World Neurosurg · Apr 2024

    Case Reports

    A concurrently occurring spinal cord cross-section and aortic injury after a chalk-stick fracture and dislocation in an ankylosing spondylitis patient: clinical image.

    • Kyun Ho Kang, Sang Yun Seok, and Jae Hwan Cho.
    • Departments of Orthopedic Surgery, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea.
    • World Neurosurg. 2024 Apr 1; 184: 149151149-151.

    AbstractA 74-year-old woman with ankylosing spondylitis presented with back pain and complete paraplegia after a fall. A radiologic finding of a bamboo spine, a characteristic feature of ankylosing spondylitis, was observed on computed tomography, along with a fracture-dislocation involving T10 and T11 (chalk-stick fracture) and compression of the descending thoracic aorta due to the caudal bony column. The patient underwent an open reduction and T8-L3 posterior fusion in the operating room. A complete cross-section of the spinal cord was observed during surgery. Post operation, a decrease in blood pressure led to a thoracotomy and thoracic endovascular aortic repair due to a crack in the descending aorta wall. Thoracolumbar fracture-dislocations, particularly in patients with ankylosing spondylitis, are characterized by instability and can be further complicated by concurrent vascular and spinal cord injuries. It is crucial therefore to recognize the potential for vascular and spinal cord injuries early on in such cases.Copyright © 2024 Elsevier Inc. All rights reserved.

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