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J Korean Soc Emerg Med > Volume 27(2); 2016 > Article
Journal of The Korean Society of Emergency Medicine 2016;27(2): 206-209.
강직성 척추염 환자에서 발생한 일반 방사선 사진으로 확인되지 않은 흉추의 파열 골절 1례
신명철1, 옥택근1, 조준휘1, 문중범1, 박찬우1, 양고은2, 김민수3, 이제민4
1강원대학교병원 응급의학과
2한림대학교 춘천성심병원 영상의학과
3강원대학교병원 마취통증의학과
4강원대학교병원 정형외과
Bursting Fracture of the Thoracic Spine in Ankylosing Spondylitis: No Visible in Standard Radiograph
Myoung Chul Shin1, Taek Geun Ohk1, Jun Hwi Cho1, Joong Bum Moon1, Chan Woo Park1, Go Eun Yang2, Min Soo Kim3, Jae Min Lee4
1Departments of Emergency Medicine, Kangwon National University Hospital, Kangwondo, Korea
2Department of Radiology, Hallym University Hospital, Kangwondo, Korea
3Department of Anesthesiology & Pain Medicine, Kangwon National University Hospital, Kangwondo, Korea
4Department of Orthopaedic Surgery, Kangwon National University Hospital, Kangwondo, Korea
Correspondence  Taek Geun Ohk ,Tel: 033) 258-2350, Fax: 033) 258-2451, Email: otgotg11@gmail.com,
Received: January 19, 2016; Revised: January 21, 2016   Accepted: March 8, 2016.  Published online: April 30, 2016.
Patients with ankylosing spondylitis (AS) are at high risk for spinal fracture even after a minor injury. Most spinal fractures with ankylosing spondylitis occur in the cervical spine, whereas spinal fractures in thoracic or lumbar spine are rare. These fractures are often difficult to detect on standard radiographs, because the normal anatomical landmarks are lacking and the abnormal spinal stiffness precludes optimal exposure of the spine. We report on a case of a 12th thoracic spine fracture in ankylosing spondylitis with bamboo spine after a minor injury. In this case, anteroposterior and lateral radiographs of the thoracolumbar spine showed a bamboo spine typical for ankylosing spondylitis with no evidence of fracture. However, computed tomography showed a 12th thoracic fracture with burst. Therefore, this fracture, in a patient with AS involved all three spinal columns, was considered unstable.
Key words: Ankylosing spondylitis, Spinal fracture, Unstable fracture, Radiologic diagnosis
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