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Case Reports
. 2013 Sep;23(5):1008-12.
doi: 10.1007/s10165-012-0726-6. Epub 2012 Jul 21.

Failure of conservative treatment for thoracic spine fracture in ankylosing spondylitis: delayed neurological deficit due to spinal epidural hematoma

Yasuchika Aoki  1 , Masatsune Yamagata, Yoshikazu Ikeda, Fumitake Nakajima, Arata Nakajima, Koichi Nakagawa, Seiji Ohtori, Tsutomu Inaoka, Kazuhisa Takahashi
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Case Reports

Failure of conservative treatment for thoracic spine fracture in ankylosing spondylitis: delayed neurological deficit due to spinal epidural hematoma

Yasuchika Aoki et al. Mod Rheumatol. 2013 Sep.

Abstract

Patients with ankylosing spondylitis (AS) are prone to spinal fracture after even minor trauma. We report a case of thoracic spinal fracture in a patient with AS who developed a secondary neurological deficit due to delayed diagnosis and prolonged conservative treatment. When the neurological deficit occurred, the fractured segment showed no displacement, but a spinal epidural hematoma was present. Surgical treatment produced significant neurological improvement, although incomplete paralysis persisted.

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