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Vol. 17. Núm. 5.
Páginas 440-444 (enero 2005)
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Vol. 17. Núm. 5.
Páginas 440-444 (enero 2005)
Fractura transdiscal y subluxación C5-C6 en paciente con espondilitis anquilopoyética
C5-C6 transdiscal fracture and subluxation in a patient with ankylosing spondylitis
Visitas
2155
A. Carrillo-Colmenero
, T. García-de la Oliva
Servicios de Radiodiagnóstico. Hospital Regional Universitario Carlos Haya. Málaga
H.F. Cabrera Ortiz*
* Servicios de Neurocirugía. Hospital Regional Universitario Carlos Haya. Málaga
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Resumen

La fractura cervical es una posible complicación, no infrecuente, de la espondilitis anquilopoyética (EA) de larga evolución.

La actual nota clínica recoge un caso registrado en nuestro hospital, consistente en una fractura transdiscal y luxación C5-C6, con paraplejia final residual.

Su gravedad, pues, radica en su importante morbimortalidad en este tipo de pacientes.

El presente artículo centra su atención sobre el diagnóstico precoz, que posibilitará un manejo terapéutico personalizado, y sobre la prevención, en la medida de lo posible, de esta grave complicación.

Analizamos el contexto clínico del paciente, los factores predisponentes, el mecanismo lesional, la expresión radiológica, las secuelas neurológicas y el manejo terapéutico.

Palabras clave:
Espondilitis anquilopoyética
Fractura cervical
Lesión neurológica
Abreviaturas:
AS
EA
RM
STIR
TAC
Summary

Cervical fracture is not a rare complication of longterm ankylosing spondylitis (AS). We are reporting a case of cervical fracture in a patient affected by which was complicated by a transdiscal fracture, C5-C6 subluxation, and residual paraplegia.

We analyse clinical presentation, predisponent factors, injury mechanism, radiologic features, neurological deficits, and terapeutic management.

We discuss the accurate diagnosis and the most suitable treatment for this serious complication, as well as prevention measures.

Key words:
Ankylosing spondylitis
Cervical fracture
Cervical subluxation

Artículo

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