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KMID : 0359819950240080924
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 8 p.924 ~ p.932
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Problems in the Treatment of Patients with Ankylosing Spondylitis
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박관호
김대환/김인환/한동로/이문태/이상구/김정철
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Abstract
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the characteristic pathological lesions in ankylosing spondylitis are vertebral body osteoporosis, ankylosis of the apophyseal joints. intervertebral disc calcification. and ligamentous ossification. Calcification of the annulus fibrosis reduces
the
movement and elasticity of the intervertebral disc, causing this point to be the site of least resistance when the spine is subjected to trauma. The rigid spine may secondarily develop osteoporosis. further increasing the risk of spinal fracture.
The
ligamentous fragility and multiple feud vertebral segments cause the fractured ankylosing spondylitic spine to resemble a long-bone fracture. In ankylosing spondylitis patient who have sustained minor trauma, a complete radiological study of the
entire
spine and not just the symptomatic region must be performed for an accurate diagnosis. so that any fracture possible along the spine can be detected and thus prevent any medicolegal problems.
The authors report 4 cases of ankylosing spondylitis including 2 cases with severe neurological abnormalities that had occured after minor trauma.
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