Odontoid fracture complicating ankylosing hyperostosis of the spine

Ankylosing hyperostosis of the spine (Forestier's disease) is a distinct clinical entity which must be differentiated from ankylosing spondylitis (Marie-Strumpell's disease) and hypertrophic spondylosis. In the case presented, the distinction was made by clinical, roentgenographic, and pos...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1978-06, Vol.3 (2), p.108-112
Main Author: Fardon, D F
Format: Article
Language:English
Subjects:
Aged
Axis, Cervical Vertebra - injuries
Exostoses - complications
Exostoses - diagnostic imaging
Female
Fractures, Bone - etiology
Fractures, Bone - surgery
Humans
Radiography
Spinal Fusion
Spondylitis, Ankylosing - complications
Spondylitis, Ankylosing - diagnostic imaging
Syndrome
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Summary:Ankylosing hyperostosis of the spine (Forestier's disease) is a distinct clinical entity which must be differentiated from ankylosing spondylitis (Marie-Strumpell's disease) and hypertrophic spondylosis. In the case presented, the distinction was made by clinical, roentgenographic, and postmortem pathologic findings. This case had the unique and previously unreported feature of complication by a fracture of the odontoid. The patient's particular circumstances led to the decision to treat the fracture by posterior arthrodesis, though this is not necessarily recommended for all spinal fractures occuring in this disease.
ISSN:0362-2436
DOI:10.1097/00007632-197806000-00003