Breaking the diagnosis: ankylosing spondylitis evidenced by cervical fracture following spine manipulation

Author(s):  
Marina Barguil Macêdo ◽  
Samuel Katsuyuki Shinjo ◽  
Diogo Souza Domiciano
2012 ◽  
Vol 2012 (jul09 1) ◽  
pp. bcr0120125522-bcr0120125522 ◽  
Author(s):  
S. W. Han ◽  
S. H. Kim

Spine ◽  
2016 ◽  
Vol 41 (22) ◽  
pp. E1364-E1367 ◽  
Author(s):  
Jianxi Wang ◽  
Liangyu Shi ◽  
Huajiang Chen ◽  
Wen Yuan

2015 ◽  
Vol 22 (5) ◽  
pp. 454-458 ◽  
Author(s):  
Mark E. Oppenlander ◽  
Forrest D. Hsu ◽  
Patrick Bolton ◽  
Nicholas Theodore

Although exceedingly rare, catastrophic neurological decline may result from endotracheal intubation of patients with preexisting cervical spine disease. The authors report on 2 cases of quadriplegia resulting from emergent endotracheal intubation in the intensive care unit. A 68-year-old man with ankylosing spondylitis became quadriplegic after emergent intubation. A new C6–7 fracturedislocation was identified, and the patient underwent emergent open reduction and C4–T2 posterior fixation and fusion. The patient remained quadriplegic and ultimately died of pneumonia 1 year later. This is the first report with radiographic documentation of a cervical fracture-dislocation resulting from intubation in a patient with ankylosing spondylitis. A 73-year-old man underwent posterior C6–T1 decompression and fixation for a C6–7 fracture. On postoperative Day 12, emergent intubation for respiratory distress resulted in C6-level quadriplegia. Imaging revealed acute spondyloptosis at C6–7, and the patient underwent emergent open reduction with revision and extension of posterior fusion from C-3 to T-2. He remained quadriplegic and ventilator dependent. Five days after the second operation, care was withdrawn. This is the first report of intubation as a cause of significant neurological decline related to disruption of a recently fixated cervical fracture. Risk factors are identified and pertinent literature is reviewed for cases of catastrophic neurological complications after emergent endotracheal intubation. Strategies for obtaining airway control in patients with cervical spine pathology are also identified. Awareness of the potential dangers of airway management in patients with cervical spine pathology is critical for all involved subspecialty team members.


2010 ◽  
Vol 56 (2) ◽  
pp. 88-90
Author(s):  
İlknur Tuğcu ◽  
Bilge Yılmaz ◽  
Kutay Tezel ◽  
Kamil Yazıcıoğlu ◽  
Haydar Möhür

2012 ◽  
Vol 6 (1) ◽  
pp. 60 ◽  
Author(s):  
Munehisa Koizumi ◽  
Jin Iida ◽  
Hideki Shigematsu ◽  
Nobuhisa Satoh ◽  
Masato Tanaka ◽  
...  

1973 ◽  
Vol 39 (6) ◽  
pp. 764-769 ◽  
Author(s):  
Carroll Osgood ◽  
Louis G. Martin ◽  
Elliott Ackerman

✓ Two cases of cervical fracture-dislocation causing neurological deficits in patients with ankylosing spondylitis are presented. Review of the literature shows that these patients have a higher incidence of neurological deficits (70%) than comparable patients without ankylosing spondylitis (44%). Predisposing factors and treatment are discussed.


2013 ◽  
Vol 155 (10) ◽  
pp. 1955-1956 ◽  
Author(s):  
Severiano Cortés Franco ◽  
Asís Lorente Muñoz ◽  
Pedro Perez Barrero ◽  
Juan Alberdi Viñas

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