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Review
. 1991 Oct;29(4):590-3; discussion 593-4.
doi: 10.1097/00006123-199110000-00018.

Axis fracture in ankylosing spondylitis: case report

J J Gartman Jr  1 , E Bullitt, M L Baker
Affiliations
Review

Axis fracture in ankylosing spondylitis: case report

J J Gartman Jr et al. Neurosurgery. 1991 Oct.

Abstract

Ankylosing spondylitis is a chronic inflammatory disease that results in the slow progressive transformation of the normal spine into a rigid and brittle tube containing the normal neural elements. This pathological condition predisposes the patient to fractures of this structure and a potential for neurological damage greater than that of the normal population. We present a spontaneous fracture of the C1-C2 complex through the base of the dens, with impending neurological deficits in such a patient. We have reviewed the pertinent literature and emphasized several points relative to the management of similar patients.

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