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CASE REPORT
Year : 2017  |  Volume : 3  |  Issue : 3  |  Page : 147-150

Burst compression fracture in ankylosing spondylitis: A challenging case of vertebroplasty


1 Fellow, Department of Anesthesia and Pain, Daradia : The Pain Clinic Kolkata, West Bengal, India
2 Director, Department of Pain Management, Daradia : The Pain Clinic Kolkata, West Bengal, India
3 Senior Consultant and Incharge, Department of Anesthesiology and Pain Medicine, MEDICA Superspecialty Hospital, Kolkata, West Bengal, India
4 Senior Resident, Department of Orthopedics, Bhagwan Mahavir Hospital, New Delhi, India

Correspondence Address:
Snehil Gupta
Fellow, Department of Anesthesia and Pain, Daradia : The Pain Clinic, Kolkata West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0090

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Ankylosing spondylitis (AS) is a chronic inflammatory joint disease. Osteoporosis and fractures of the vertebral body and its dorsal arch are now well-recognized features because of the altered biomechanics of the ankylosed spine. “Seat belt ” or “burst compression” fractures through the disk, juxta-end plate, and posterior segments have been observed very often in the thoracolumbar spine. These are associated with increasing pain with or without neurologic deficit, and may require intervention. Vertebroplasty has proven benefits in the treatment of stable spinal fractures and this technique allows complete or marked pain relief and bone strengthening in most cases. Decision to perform vertebroplasty should be made by a multidisciplinary team. In this case report, we have tried to emphasize on the fragility of the spine that can result from minor injury as well as the management of thoracic vertebral fracture complicating AS.


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