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On arrival at accident and emergency, the patient shows sings of paraplegia of the lower limbs with no bilateral patellar reflex. A simple thoracolumbar spine X-ray is performed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a) followed by a CT (<a class="elsevierStyleCrossRef" href="#fig0005">Figs. 1b and 2</a>) finding a fracture dislocation at D10⿿D11 with a horizontal fracture line that runs through the intervertebral space D10⿿D11 and the pedicles of D11, involving retrolisthesis at D10 on D11, grade iv/iv, with severe affection of the vertebral canal and probable serious spinal injury. A marked generalised osteopenia in the thoracolumbar spine with syndesmophytes, fusion of facet joints and calcification of the supraspinatus ligament acquiring morphology in the ⿿bamboo spine⿿ revealed the underlying diagnosis of ankylosing spondylitis, which explains the severity of the fracture produced by a mild trauma.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "⿿" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Garrido Ruiz G, Rodriguez Molina A, Peral Prados I. Fractura transdiscal de bloque vertebral tras caída accidental en paciente con espondilitis anquilosante. Med Clin (Barc). 2016;146:e35.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 850 "Ancho" => 942 "Tamanyo" => 100055 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 850 "Ancho" => 850 "Tamanyo" => 103045 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014600000006/v3_201704140441/S2387020616302182/v3_201704140441/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014600000006/v3_201704140441/S2387020616302182/v3_201704140441/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616302182?idApp=UINPBA00004N" ]
Journal Information
Vol. 146. Issue 6.
Pages e35 (March 2016)
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Vol. 146. Issue 6.
Pages e35 (March 2016)
Image in medicine
Transdiscal fracture of the vertebrae following an accidental fall in a patient with ankylosing spondylitis
Fractura transdiscal de bloque vertebral tras caída accidental en paciente con espondilitis anquilosante
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