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强直性脊柱炎中的粉笔样骨折：一例轻微创伤后颈椎损伤的病例报告

Chalk-Stick Fracture in Ankylosing Spondylitis: A Case Report of Cervical Spine Injury Following Minor Trauma.

作者信息

Baldwin Margaret L, Shufflebarger Erin F, Pacheco Zachary S

机构信息

Emergency Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, USA.

出版信息

Cureus. 2024 Sep 8;16(9):e68931. doi: 10.7759/cureus.68931. eCollection 2024 Sep.

DOI:10.7759/cureus.68931
PMID:39381463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11460308/
Abstract

We describe the case of a 74-year-old male with ankylosing spondylitis (AS) who presented to the Emergency Department for evaluation of acutely worsened left-sided weakness following a fall from standing. Computed tomography (CT) and magnetic resonance imaging (MRI) of his cervical spine revealed a chalk-stick fracture of C5-C7, which required surgical intervention. Chalk-stick fractures are rare, typically occurring in patients with AS, and often occurring from low-energy mechanisms. In the acute setting, providers should maintain a low threshold for obtaining CT or MRI imaging to evaluate spinal injury in patients with AS.

摘要

我们描述了一名74岁患有强直性脊柱炎（AS）的男性病例，他因从站立位跌倒后急性加重的左侧肢体无力而前往急诊科就诊。其颈椎的计算机断层扫描（CT）和磁共振成像（MRI）显示C5 - C7椎体的粉笔样骨折，这需要手术干预。粉笔样骨折很罕见，通常发生在强直性脊柱炎患者中，且常由低能量机制导致。在急性情况下，医疗人员对于患有强直性脊柱炎的患者进行脊柱损伤评估时，应保持较低的阈值来获取CT或MRI影像。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9d/11460308/6f197a8bcfef/cureus-0016-00000068931-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9d/11460308/ff784a1a012a/cureus-0016-00000068931-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9d/11460308/6f197a8bcfef/cureus-0016-00000068931-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9d/11460308/ff784a1a012a/cureus-0016-00000068931-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f9d/11460308/6f197a8bcfef/cureus-0016-00000068931-i02.jpg

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本文引用的文献

1
Delayed spinal epidural hematoma following T1 chance fracture: An illustrative case and review of the literature.T1 型 Chance 骨折后迟发性脊髓硬膜外血肿：1 例病例展示及文献复习
Surg Neurol Int. 2022 Dec 23;13:593. doi: 10.25259/SNI_1046_2022. eCollection 2022.
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Is routine MRI of the spine necessary in trauma patients with ankylosing spinal disorders or is a CT scan sufficient?对于患有强直性脊柱炎的创伤患者，常规脊柱 MRI 是否必要，还是 CT 扫描就足够了？
Spine J. 2019 Aug;19(8):1331-1339. doi: 10.1016/j.spinee.2019.03.004. Epub 2019 Mar 16.
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Clinical images - a quarterly column: chance fracture of the lumbar spine.
临床影像——季刊专栏：腰椎应力性骨折
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Spine fractures in patients with ankylosing spinal disorders.强直性脊柱炎患者的脊柱骨折。
Spine (Phila Pa 1976). 2010 May 15;35(11):E458-64. doi: 10.1097/BRS.0b013e3181cc764f.
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Note on a type of flexion fracture of the spine.关于一种脊柱屈曲性骨折的笔记。
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Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications.强直性脊柱疾病患者的脊柱骨折：关于治疗、神经状况及并发症的文献系统综述
Eur Spine J. 2009 Feb;18(2):145-56. doi: 10.1007/s00586-008-0764-0. Epub 2008 Sep 13.
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The Canadian C-spine rule for radiography in alert and stable trauma patients.用于清醒且病情稳定的创伤患者的加拿大颈椎影像学检查规则。
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Selective cervical spine radiography in blunt trauma: methodology of the National Emergency X-Radiography Utilization Study (NEXUS).
Ann Emerg Med. 1998 Oct;32(4):461-9. doi: 10.1016/s0196-0644(98)70176-3.