Paraplegia in an Ankylosing Spondylitis Patient with a Neglected Spine Fracture after Osteosynthesis for Fracture of the Femur - A Case Report - (강직성 척추염이 있는 환자에서 고관절 골절 수술 이후 발생한 마비 - 증례 보고 -)

Sin-Wook Kang (강신욱); Sohn Hong Moon (손홍문); 유재원

Paraplegia in an Ankylosing Spondylitis Patient with a Neglected Spine Fracture after Osteosynthesis for Fracture of the Femur - A Case Report -

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2017, 24(4), pp.246-251
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Sin-Wook Kang ¹, Sohn Hong Moon ¹, 유재원 ²

¹조선대학교
²조선대학교 의과대학 정형외과학교실

Accredited

ABSTRACT

Study Design: Case report. Objectives: To report a case of paraplegia in a patient with thoracic kyphosis after osteosynthesis for a fracture of the femur. Summary of the Literature Review: There are few reports about cases of paraplegia after low extremity fracture surgery in patients with thoracic kyphosis with ankylosing spondylitis. Materials and Methods: An 86-year-old female patient presented with right hip pain. She had undergone surgery for an intertrochanteric fracture of the femur in the supine position under general anesthesia. Immediately after surgery, she showed paraplegia. Postoperative thoracolumbar spine images revealed a fracture through the disc at T12 and L1. However, she did not complain of back pain or any neurologic deficits before surgery. Results: Although the patient underwent emergent posterior decompression and fusion surgery, her neurologic compromise did not improve during 1 year of follow-up. Conclusions: It is necessary to check preoperative spine radiographs before surgery in elderly patients who have a kyphotic deformity and lower extremity fractures. Surgeons should consider changing the position of the patient and the type of anesthesia used during surgery when spine stability is in doubt.

KEYWORDS

Ankylosing spondylitis, Spine fracture, Lower extremity fracture, Paraplegia, Thoracic kyphosis

Citation status

* References for papers published after 2023 are currently being built.

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03