Machado Pedro, Gawronski Jan, Gall Angela
Spinal Cord Injury Centre, Royal National Orthopaedic Hospital, Stanmore, London, United Kingdom.
Acta Reumatol Port. 2008 Apr-Jun;33(2):231-7.
Ankylosing spondylitis patients are reported to be at greater risk for vertebral fractures and spinal cord injury. We describe the case of a 72-year-old male with a long history of ankylosing spondylitis who sustained a vertebral fracture after minor trauma. The fracture was initially missed on conventional radiographs but was later diagnosed by magnetic resonance imaging after the development of new neurological symptoms. With this case report the authors outline the factors that increase the incidence of vertebral fractures and spinal cord injury in ankylosing spondylitis patients and discuss prevention strategies to avoid this devastating complication of the disease.
据报道，强直性脊柱炎患者发生椎体骨折和脊髓损伤的风险更高。我们描述了一例72岁男性患者的病例，该患者有长期强直性脊柱炎病史，在轻微外伤后发生了椎体骨折。骨折最初在传统X线片上未被发现，但在出现新的神经症状后，后来通过磁共振成像被诊断出来。通过本病例报告，作者概述了增加强直性脊柱炎患者椎体骨折和脊髓损伤发生率的因素，并讨论了避免该疾病这种毁灭性并发症的预防策略。
