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Year : 2019  |  Volume : 3  |  Issue : 4  |  Page : 367-369

Short-oblique lumbar spine fracture in ankylosing spondylitis patient

Department of Surgery, King Abdul-Aziz Medical City, Riyadh, Saudi Arabia

Correspondence Address:
Dr. Sami I AlEissa
Department of Surgery, King Abdul.Aziz Medical City, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmsr.jmsr_53_19

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Ankylosing spondylitis (AS) is a chronic inflammatory joint disease that mainly causes fusion of the intervertebral discs and facet joints by involving the axial skeleton that typically leads to kyphotic bamboo spine. Demineralization of vertebral bodies in AS raises the risk of spinal fracture even after a simple trauma. During the progression of the disease, the spine becomes more prone to injury, even after minor trauma. Patients with AS have a higher fracture risk during their lifetime by four times compared to the normal population. A 61-year-old male, a known case of AS, came to the emergency room complaining of back pain. His neurological examination was normal, and the images showed transverse/oblique fracture involving L2 vertebral body associated with small retropulsed fragments and bone debris. Posterior spinal fixation and fusion with a bone graft from T10 to S1 was decided to stabilize the fracture. On the 2nd postoperative day, the radiograph showed good alignment and fixation. One-year follow up showed a normal neurological exam with a stable and fused spine. In this case, we present a rare lumbar spine fracture orientation in a patient with AS, with a good outcome with 1-year follow-up. Up to our knowledge, this is the first report to presenting a short-oblique fracture in a patient with AS disease.

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