[Posttraumatic Chance fracture of the cervical spine in a case with ankylosing spondylitis: a case report].
Spinal fractures can occur after minor traumas due to the fragility of osseous or ligamentous structures of the spine in patients with ankylosing spondylitis. They are usually seen in the thoracolumbar region of the spine. However, the cervical region is an extremely rare location for these fractures. We present a 52-year-old male with ankylosing spondilitis who had complaints of weakness in the lower extremities and difficulty with walking after a fall from height. Neurologic examination revealed a progressive loss of motor function. Magnetic resonance imaging showed a Chance fracture at the fifth and sixth cervical vertebrae. We performed a one-stage anterior cervical fusion and stabilization with posterior decompression. Postoperatively, there was a progressive neurologic improvement. However, the patient died due to pulmonary failure at the seventh day postoperatively.
Ozdemir
H Mustafa
HM
Department of Orthopedics and Traumatology, Meram Medicine Faculty of Selçuk University, Konya, Turkey. hmustafam@hotmail.com
Erkoçak
Omer
O
Demirayak
Mehmet
M
Ogün
Tunç
T
D000058:Accidental Falls; D002574:Cervical Vertebrae / Q000293:injuries*; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016103:Spinal Fractures / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013167:Spondylitis, Ankylosing / Q000150:complications*