Department of Neurosurgery, Massachusetts General Hospital, 15 Parkman Street, Boston, Massachusetts 02114-3117, USA.
J Clin Neurosci. 2010 Aug;17(8):1085-8. doi: 10.1016/j.jocn.2009.12.010. Epub 2010 May 23.
We report a 92-year-old female with ankylosing spondylitis who suffered a non-displaced cervical fracture of the C4 vertebral body as the result of a mechanical fall. A rigid cervical collar was used to maintain stability. The patient later went on to develop upper airway obstruction as a result of fracture displacement. She was emergently intubated for airway protection. To our knowledge, this is the first report of interval, acute onset upper airway obstruction caused by cervical instability following trauma and fracture in a patient with ankylosing spondylitis. This example highlights one of the potential complications of rigid cervical collar immobilization in patients with spinal instability.
我们报告了一例 92 岁女性强直性脊柱炎患者，因机械性跌倒导致 C4 椎体无移位颈椎骨折。使用硬性颈托来保持稳定性。患者后来因骨折移位而出现上呼吸道梗阻。她紧急进行气管插管以保护气道。据我们所知，这是首例因创伤和骨折导致强直性脊柱炎患者颈椎不稳定而出现间隔性、急性上呼吸道梗阻的病例报告。这个例子突出了脊柱不稳定患者使用硬性颈托固定的潜在并发症之一。
