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KMID : 1099620160130020080
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Korean Journal of Spine
2016 Volume.13 No. 2 p.80 ~ p.82
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Leading a Patient of Ankylosing Spondylitis to Death by Iatrogenic Spinal Fracture
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Oh Jae-Sang
Doh Jae-Won
Shim Jai-Joon
Lee Kyeong-Seok
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Abstract
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Fractures in ankylosing spondylitis (AS) are often difficult to identify and treat. If combined with osteoporosis, the spine becomes weaker and vulnerable to minor trauma. An 83-year-old woman with a history of chronic AS and severe osteoporosis developed paraparesis and voiding difficulty for 4 days prior. She had been placed in the lateral decubitus position in a bedridden state in a convalescent hospital due to the progressive paraparesis. The laboratory findings showed CO2 retention in the arterial blood gas analysis. After the patient was transferred to the computed tomography (CT) room, a CT was taken in the supine position. Approximately half an hour later, the resident in our neurosurgical department checked on her, and the neurological examination showed a complete paraplegic state. She was treated conservatively and finally expired 20 days later.
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KEYWORD
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Ankylosing spondylitis, Osteoporosis, Spine fractures
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