Heyde C E, Robinson Y, Kayser R, John T
Klinik für Orthopädische- Unfall- und Wiederherstellungschirurgie, Charité-Campus Benjamin Franklin, Berlin.
Sportverletz Sportschaden. 2007 Sep;21(3):148-51. doi: 10.1055/s-2007-963315.
Patients with ankylosing spondylitis are endangered suffering from cervical spine fractures following falls caused by kyphosis, stiffness and osteoporotic bone quality of the spine. Risk sustaining neurological deficits is higher than average. We present a patient with ankylosing spondylitis, who was admitted to our hospital with a complex fracture pattern of the cervical spine after a fall from a racing cycle. In spite of early operative treatment the patient died in the follow up because of severe hypoxic brain damage. We discuss the area of conflict between the recommendation for sport activities in patients with ankylosing spondylitis and the resulting risks for the diseased spine.
强直性脊柱炎患者因脊柱后凸、僵硬及骨质疏松性骨质而面临跌倒后颈椎骨折的风险。出现神经功能缺损的风险高于平均水平。我们报告一名强直性脊柱炎患者，该患者从赛车自行车上摔下后，因复杂的颈椎骨折模式入住我院。尽管进行了早期手术治疗，但患者在随访中因严重的缺氧性脑损伤死亡。我们讨论了强直性脊柱炎患者体育活动建议与患病脊柱所产生风险之间的冲突领域。
