Patient 3 – Ankylosing Spondylitis

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The patient presented with cervical pain as well as sensory and motor deficit of the left C7 nerve root. The neuroimaging investigation revealed a fracture at C6-C7 level extended through all three columns of the cervical spine and with subluxation at C6-C7. From the history it is reported ankylosing spondylitis and a fall to the ground from a height 2-3 feet.

(a) MRI
(b) CT-scan
(c) x-ray

 MRI (a), CT-scan (b) and x-ray (c), show the fracture location, with neural compromise (a), and lateral bending of the head (c).

The patient underwent a successful surgery, consisting of anterior approach and instrumentation with an interspace cage and an anterior cervical plate implantation. In the same operative session, the patient in prone position also underwent a posterior fusion from C3 to T2.