Leading a Patient of Ankylosing Spondylitis to Death by Iatrogenic Spinal Fracture

Fractures in ankylosing spondylitis (AS) are often difficult to identify and treat. If combined with osteoporosis, the spine becomes weaker and vulnerable to minor trauma. An 83-year-old woman with a history of chronic AS and severe osteoporosis developed paraparesis and voiding difficulty for 4 day...

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Bibliographic Details
Published in:Korean Journal of Spine 2016, 13(2), , pp.80-82
Main Authors: Oh, Jae-Sang, Doh, Jae-Won, Shim, Jai-Joon, Lee, Kyeong-Seok
Format: Article
Language:English
Subjects:
Case Report
신경외과학
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Summary:Fractures in ankylosing spondylitis (AS) are often difficult to identify and treat. If combined with osteoporosis, the spine becomes weaker and vulnerable to minor trauma. An 83-year-old woman with a history of chronic AS and severe osteoporosis developed paraparesis and voiding difficulty for 4 days prior. She had been placed in the lateral decubitus position in a bedridden state in a convalescent hospital due to the progressive paraparesis. The laboratory findings showed CO2 retention in the arterial blood gas analysis. After the patient was transferred to the computed tomography (CT) room, a CT was taken in the supine position. Approximately half an hour later, the resident in our neurosurgical department checked on her, and the neurological examination showed a complete paraplegic state. She was treated conservatively and finally expired 20 days later.
ISSN:1738-2262
2586-6583
2093-6729
2586-6591
DOI:10.14245/kjs.2016.13.2.80