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Conus Medullaris Syndrome Due to Missed Thoracolumbar Spinal Fracture in a Patient with Ankylosing Spondylitis who Underwent Hip Surgery
- Source :
- Turkish Journal of Anaesthesiology and Reanimation
- Publication Year :
- 2019
- Publisher :
- Turkish Anaesthesiology and Intensive Care Society, 2019.
-
Abstract
- Ankylosing spondylitis (AS) is vulnerable to fracture, and the missed diagnosis can lead to neurological deterioration. Herein, we present the conus medullaris syndrome due to aggravation of the missed spinal fracture in an 85-year-old woman with AS who underwent hip surgery. She underwent osteosynthesis in a supine position with supports under her shoulders and head due to spine deformity with AS, but was fully supine without supports after surgery. She showed complete paraplegia at postoperative 12 h. The re-reading radiological imaging showed the missed spinal fracture, of which the deteriorated dislocation was revealed on the re-examined radiological evaluation. This deterioration was not recovered ultimately despite an emergent surgery. A thorough preoperative assessment is essential to prevent the missed diagnosis of spinal fracture and minimise deterioration due to its dislocation, with specific spine precaution during transport, transfer and positioning.
- Subjects :
- 030203 arthritis & rheumatology
Hip surgery
medicine.medical_specialty
Ankylosing spondylitis
Osteosynthesis
Supine position
business.industry
Shoulders
General Anaesthesia
Case Report
medicine.disease
spinal fractures
Surgery
preoperative assessment
03 medical and health sciences
0302 clinical medicine
Spinal cord compression
intramedullary fracture fixation
Radiological weapon
Spinal fracture
spinal cord compression
medicine
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 26676370 and 2667677X
- Volume :
- 48
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Turkish Journal of Anaesthesiology and Reanimation
- Accession number :
- edsair.doi.dedup.....9be7971dd2621d1f1dcc24e80a003aa3