Treatment of Thoracic Fracture in Patient with Ankylosing Spondylitis |
Kiwon Na , Jongtae Park |
Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea |
강직성 척추염 환자에서 발생한 흉추부 골절의 치료 |
나기원·박종태 |
원광대학교 의과대학 신경외과학교실 |
|
Abstract |
Ankylosing spondylitis (AS) is a chronic inflammatory autoimmune disease. Pathologic changes occurred in patients with AS result in a weakened vertebral column with increased susceptibility to fractures, even though a trivial injury. Fractures usually tend to involve the lower cervical spine, but rarely, they are also occurred in thoracic spine. We present our experiences of a case of lower thoracic fracture in patients with AS. A 67-year-old patient with ankylosing spondylitis visited ER with severe back pain and lower extremities weakness due to T11-12 fracture. She underwent posterior screw fixation and PSO for the fracture and a correction procedure for lumbar lordosis. Patient was mobilized without any neurologic deficits. |
Key Words:
Thoracic fractureㆍAnkylosing spondylitisㆍPedicle subtraction osteotomy |
|