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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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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. 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