PMC4578748_01
Plain radiographs of the cervical spine were unremarkable in detecting a cervical spine fracture in a patient with AS although the typical radiographic features of AS were apparent in entire spine ((a) AP and (b) lateral).
CRIOR2015-590935.001.jpg
PMC4578748_01_CRIOR2015-590935.001.jpg
fig1
Plain radiographs of the cervical, thoracic spine were unremarkable in detecting a cervical spine fracture in a patient with AS and a SCI following a fall although the typical radiographic features of AS were apparent in entire spine (Figure 1).
CT scan shows simultaneous cervical and lumbar spine fractures and dislocations at the level of C6-C7 ((a) and (b)) and L1 ((c) and (d)).
CRIOR2015-590935.002.jpg
PMC4578748_01_CRIOR2015-590935.002.jpg
fig2
Association- (ASIA-) A spinal cord injury at C6/C7 level. A CT scan with sagittal reformatting of the cervical, thoracic, and lumbar region was performed and revealed a displaced fracture at the C6/C7 level as well as fracture and dislocation of the spine at L1 level (Figure 2). Although he was treated with an aggressive medical support, he died of respiratory failure 20 hours after initial injury (Figure 3).
Progressive respiratory failure of the patient ((a) 1 hour after injury and (b) 18 hours after injury).
CRIOR2015-590935.003.jpg
PMC4578748_01_CRIOR2015-590935.003.jpg
fig3
Association- (ASIA-) A spinal cord injury at C6/C7 level. A CT scan with sagittal reformatting of the cervical, thoracic, and lumbar region was performed and revealed a displaced fracture at the C6/C7 level as well as fracture and dislocation of the spine at L1 level (Figure 2). Although he was treated with an aggressive medical support, he died of respiratory failure 20 hours after initial injury (Figure 3).