J Korean Fract Soc.  2012 Jan;25(1):77-81. 10.12671/jkfs.2012.25.1.77.

Treatment of a 3rd Lumbar Vertebra Translational Injury Combined with Incomplete Cauda Equina Syndrome in Ankylosing Spondylitis: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Busan Medical Center, Busan, Korea. drgo1973@nate.com

Abstract

Ankylosing spondylitis is a rheumatic disease in which mainly the spinal and sacroiliac joints are affected. Patients with ankylosing spondylitis are at significant risk for spinal fracture when exposed to even minor trauma. Most spinal fractures with ankylosing spondylitis occur in the cervical spine, whereas spinal fractures in thoracic or lumbar spine are rare, especially in the lower lumbar spine. Furthermore, neurologic symptoms in cases of lower lumbar spine fracture are rarer than in cases of cervical and thoracic spinal fracture. We have experienced a case of translation injury of the 3rd lumbar vertebra accompanied by incomplete cauda equine syndrome in ankylosing spondylitis and the authors gained good clinical results with surgical treatment. We have reported here on this case and have included a review of the relevant literature.

Keyword

Ankylosing spondylitis; Incomplete cauda equina syndrome; Translational injury; Postero-lateral fusion

MeSH Terms

Cauda Equina
Humans
Neurologic Manifestations
Polyradiculopathy
Rheumatic Diseases
Sacroiliac Joint
Spinal Fractures
Spine
Spondylitis, Ankylosing
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