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Ankylosing spondylitis complicated with traumatic thoracic fracture dislocation with old spinal cord injury

[...]the patient underwent cervical surgery with open reduction and internal fixation by anterior stabilisation in the local hospital (figure 1C,D). [...]the patient’s unstable situation could not enable a timely thoracic spine reduction and fixation. The patient selected conservative treatment for...

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Bibliographic Details
Published in:Rheumatic & musculoskeletal diseases open 2023-11, Vol.9 (4), p.e003451
Main Authors: Ma, Xiaojie, Zhao, Xin, Qi, Yubin, Li, Houying, Hu, Li, Zhang, Zhenxing, Zhang, Kaining, Ren, Yanjun, Yang, Yun, Chen, Changjun
Format: Article
Language:English
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Summary:[...]the patient underwent cervical surgery with open reduction and internal fixation by anterior stabilisation in the local hospital (figure 1C,D). [...]the patient’s unstable situation could not enable a timely thoracic spine reduction and fixation. The patient selected conservative treatment for thoracic fracture dislocation. [...]the patient’s neurological impairments of bilateral upper limb recovered to some extent but remained paraplegia. MRI of the spine revealed bone destruction of the vertebra at T11 with a severely deformed spinal cord (figure 1H–JG-I). Because decompression did not seem to be effective in such circumstances, the patient was only treated with stabilisation and fusion from the posterior direction (figure 1K,LJ,K).
ISSN:2056-5933
2056-5933
DOI:10.1136/rmdopen-2023-003451