Ankylosing spondylitis and spinal trauma – with an emphasis on the role of radiology

Author:

Tyrrell Prudencia1,Chowdhury J Roy2

Affiliation:

1. Departments of Radiology, Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, Shropshire, UK

2. Midland Centre for Spinal Injuries, Robert Jones & Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, Shropshire, UK

Abstract

Diagnosis of spinal injury in a patient with chronic ankylosing spondylitis can be challenging. Minor insult can result in an unstable three-column injury which may be subtle. Spinal deformity, osteoporosis and limited mobility are associated with difficulty in positioning patients for imaging studies, including radiography and both computed tomography and magnetic resonance imaging. It is important to maintain a high index of suspicion of fracture, avoid forced neck extension during radiological imaging, and to consider whole spine imaging in these patients. Other causes of neurological symptoms simulating potential spinal injury are also briefly addressed.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Emergency Medicine,Surgery

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