Leading a Patient of Ankylosing Spondylitis to Death by Iatrogenic Spinal Fracture
- Abstract
- 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.
- All Author(s)
- J. S. Oh
; J. W. Doh
; J. J. Shim
; K. S. Lee
- Issued Date
- 2016
- Type
- Article
- Keyword
- Ankylosing spondylitis; Osteoporosis; Spine fractures
- Publisher
- 대한척추신경외과학회
The Korean Spinal Neurosurgery Society
- ISSN
- 1738-2262
; 2093-6729
; 2586-6591
; 2586-6583
- Citation Title
- Korean Journal of Spine
- Citation Volume
- 13
- Citation Number
- 2
- Citation Start Page
- 80
- Citation End Page
- 82
- Language(ISO)
- eng
- DOI
- 10.14245/kjs.2016.13.2.80
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2692
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