Fatal isolated cervical spine injury in a patient with ankylosing spondylitis: A case report

Abstract

Study Design. Case report. Objective. The purpose of the present case report was to present a patient with a history of ankylosing spondylitis who sustained a dislocation of C6 on C7 and died soon after his presentation in the emergency room (ER). Methods. An 88-year-old man was brought to the ER due to a neck injury secondary to a fall. Imaging of the cervical spine revealed anterior dislocation of C6 on C7 and the characteristic bamboo spine of ankylosing spondylitis. Results. The patient died within 30 minutes due to respiratory insufficiency. Conclusion. Isolated cervical spine injuries in patients with ankylosing spondylitis can be fatal. A high degree of clinical suspicion, thorough imaging with computed tomography, and meticulous handling are required in this patient population.