Advertisement

Cervical fracture in ankylosing spondylitis: value of multidimensional imaging

  • Elliot K. Fishman
    Affiliations
    Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
    Search for articles by this author
  • Donna Magid
    Correspondence
    Address reprint requests to Donna Magid, MD, Department of Radiology, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21205.
    Affiliations
    Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA

    Department of Orthopaedic Surgery , The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Ankylosing spondylitis creates a rigid spinal column that cannot easily accommodate to altered or increased forces. Fractures or fracture-subluxation may be seen following apparently trivial injury. Assessment of the lower cervical and cervicothoracic spine can be limited in the kyphotic, ankylosed spine. However, reformatted computed tomography (CT) data can be manipulated to provide true orthogonal (sagittal, coronal) planar images of the obliqued spine, and can be used to provide a three-dimensional overview of anatomy prior to treatment. One such case is presented.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Thomas D.J.
        • Kendall M.J.
        • Whitfield A.G.W.
        Nervous system involvement in ankylosing spondylitis.
        Br Med J. 1971; 1: 148-150
        • Lee M.L.H.
        • Waters D.J.
        Neurological complication of ankylosing spondylitis.
        Br Med J. 1962; 1: 798
        • Mitchell M.J.
        • Sartoris D.J.
        • Moody D.
        • Resnick D.
        Cauda Equina syndrome complicating ankylosing spondylitis.
        Radiology. 1990; 175: 521-525
        • Hunter T.
        The spinal complications of ankylosing spondylitis.
        Semin Arthritis Rheum. 1989; 19: 172-182
        • Gelineck J.
        • DeCarvalho A.D.
        Fractures of the spine in ankylosing spondylitis.
        Fortschr Rontgenstar. 1990; 152: 307-310
        • Goldberg A.L.
        • Rothfus W.E.
        • Deeb Z.L.
        • et al.
        The impact of magnetic resonance on the diagnostic evaluation of acute cervicothoracic spinal trauma.
        Skeletal Radiol. 1988; 17: 89-95
        • Harding J.R.
        • McCall I.W.
        • Park W.M.
        • Jones B.F.
        Fracture of the cervical spine in ankylosing spondylitis.
        Br J Radiol. 1985; 58: 3-7
        • Murray G.
        • Persellin R.
        Cervical fracture complicating ankylosing spondylitis: a report of eight cases and review of literature.
        Am J Med. 1981; 70: 1033-1041