Document Detail

Thoracolumbar fracture dislocation sustained during childbirth in a patient with ankylosing spondylitis.
MedLine Citation:
PMID:  23199410     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND CONTEXT: Ankylosing spondylitis (AS) is a major subtype of the spondyloarthropathies. Uncoupling of bone formation and resorption along with ectopic ossification of paraspinal soft-tissue structures alters the biomechanics of the spine and leads to an increased susceptibility to fracture.
PURPOSE: To report on a thoracolumbar fracture dislocation sustained in a 33-year-old Gravida 2/Para 2 woman, which occurred during labor. Although there are several reports in the literature of thoracolumbar fracture dislocations sustained in patients with AS, none have been reported during childbirth.
STUDY DESIGN: Case report.
CONCLUSIONS: An elevated suspicion for injury should be maintained when patients with AS present with back or neck pain even without a history of significant trauma.
Robert E Mayle; Ivan Cheng; Eugene J Carragee
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The spine journal : official journal of the North American Spine Society     Volume:  12     ISSN:  1878-1632     ISO Abbreviation:  Spine J     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-12-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130732     Medline TA:  Spine J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e5-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Stanford University Hospital and Clinics, Stanford, CA 94305-2200, USA. Electronic address:
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