caa a22 4500 445832657 CHVBK 20180317145320.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00586-010-1628-y doi (NATIONALLICENCE)springer-10.1007/s00586-010-1628-y Delayed presentation and diagnosis of cervical spine injuries in long-standing ankylosing spondylitis [Elektronische Daten] [Fahim Anwar, A. Al-Khayer, G. Joseph, M. Fraser, M. Jigajinni, D. Allan] Patients with ankylosing spondylitis (AS) are vulnerable to cervical spine fractures. Long-standing pain may mask the symptoms of the fracture. Radiological imaging of the cervical spine may fail to identify the fracture due to the distorted anatomy, ossified ligaments and artefacts leading to delay in diagnosis and increased risk of neurological complications. The objectives are to identify the incidence and risk factors for delay in presentation of cervical spine fractures in patients with AS. Retrospective case series study of all patients with AS and cervical spine fracture admitted over a 12-year period at Queen Elizabeth National Spinal Injuries Unit, Scotland. Results show that total of 32 patients reviewed with AS and cervical spine fractures. In 19 patients (59.4%), a fracture was not identified on plain radiographs. Only five patients (15.6%) presented immediately after the injury. Of the 15 patients (46.9%) who were initially neurologically intact, three patients had neurological deterioration before admission. Cervical spine fractures in patients with long-standing AS are common and usually under evaluated. Early diagnosis with appropriate radiological investigations may prevent the possible long-term neurological cord damage. Springer-Verlag, 2010 Cervical fractures nationallicence Ankylosing spondylitis nationallicence Anwar Fahim Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut Al-Khayer A. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut Joseph G. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut Fraser M. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut Jigajinni M. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut Allan D. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut European Spine Journal Springer-Verlag 20/3(2011-03-01), 403-407 0940-6719 20:3<403 2011 20 586 https://doi.org/10.1007/s00586-010-1628-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1628-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Anwar Fahim Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut NATIONALLICENCE 700 1- Al-Khayer A. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut NATIONALLICENCE 700 1- Joseph G. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut NATIONALLICENCE 700 1- Fraser M. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut NATIONALLICENCE 700 1- Jigajinni M. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut NATIONALLICENCE 700 1- Allan D. Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, G51 4TF, Glasgow, UK aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/3(2011-03-01), 403-407 0940-6719 20:3<403 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer