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Research ArticleLumbar Spine

Is Long-Segment Fixation a Rule in Fractures Associated With Ankylosing Spondylitis?

ARVIND G. KULKARNI, VARUN K. AGARWAL, NANDISH KUMAR, AVINASH KUMAR and ANKIT PATEL
International Journal of Spine Surgery April 2019, 13 (2) 215-220; DOI: https://doi.org/10.14444/6029
ARVIND G. KULKARNI
Department of Orthopaedics & Spine Surgery, Bombay Hospital and Medical Research Centre, Mumbai, India
MS (ORTH)
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VARUN K. AGARWAL
Department of Orthopaedics & Spine Surgery, Bombay Hospital and Medical Research Centre, Mumbai, India
MS (ORTH)
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NANDISH KUMAR KC
Department of Orthopaedics & Spine Surgery, Bombay Hospital and Medical Research Centre, Mumbai, India
MS (ORTH)
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AVINASH KUMAR
Department of Orthopaedics & Spine Surgery, Bombay Hospital and Medical Research Centre, Mumbai, India
MS (ORTH)
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ANKIT PATEL
Department of Orthopaedics & Spine Surgery, Bombay Hospital and Medical Research Centre, Mumbai, India
MS (ORTH)
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  • Figure 1
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    Figure 1

    Sagittal computed tomography image showing a 3-column fracture of T12 in ankylosing spondylitis (Case 1).

  • Figure 2
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    Figure 2

    T2 sagittal magnetic resonance imaging showing hyperintense signal adjacent to superior end-plate of T12 vertebra indicating a fracture (Case 1).

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    Figure 3

    (A) Postoperative lateral radiograph of thoracolumbar spine highlighting vertebroplasty at T12 (red arrow; Case 1). (B) Postoperative antero-posterior radiograph of thoracolumbar spine highlighting the vertebroplasty done at T12 (red arrow; Case 1).

  • Figure 4
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    Figure 4

    Postoperative sagittal computed tomography showing good penetration of cement at the fracture site (Case 2).

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    Figure 5

    Patients mobilized on the same day of vertebroplasty procedure (Cases 1 and 2).

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    Figure 6

    2-year follow-up computed tomography sagittal image (Case 1).

  • Figure 7
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    Figure 7

    Computed tomography sagittal section showing fracture T12 involving all 3 columns (Case 2).

  • Figure 8
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    Figure 8

    T2-weighted sagittal magnetic resonance imaging showing pseudoarthrosis (Case 2).

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International Journal of Spine Surgery
Vol. 13, Issue 2
1 Apr 2019
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Is Long-Segment Fixation a Rule in Fractures Associated With Ankylosing Spondylitis?
ARVIND G. KULKARNI, VARUN K. AGARWAL, NANDISH KUMAR, AVINASH KUMAR, ANKIT PATEL
International Journal of Spine Surgery Apr 2019, 13 (2) 215-220; DOI: 10.14444/6029

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Is Long-Segment Fixation a Rule in Fractures Associated With Ankylosing Spondylitis?
ARVIND G. KULKARNI, VARUN K. AGARWAL, NANDISH KUMAR, AVINASH KUMAR, ANKIT PATEL
International Journal of Spine Surgery Apr 2019, 13 (2) 215-220; DOI: 10.14444/6029
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Keywords

  • ankylosing spondylitis, thoraco-lumbar spine fractures
  • hyper-extension injury
  • instability
  • vertebroplasty
  • 3 column injuries

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