{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:46Z","timestamp":1786728646967,"version":"build-2736575974"},"reference-count":51,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Ankylosing spondylitis (AS) is a seronegative arthropathy which results in pathological ossification of the ligaments, disc, endplates and apophyseal structures. Cervical spinal fractures are more common in patients with ankylosing spondylitis than in patients without ankylosing spondylitis due to coexistent osteoporosis and kyphotic alignment of the spine. The risk of fracture\u2013dislocation and associated spinal cord injury is also more in these patients. Management of cervical spine fractures in patients with ankylosing spondylitis is more challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>We report a 56-year-old male patient who presented to our emergency department following a road traffic accident. He had ASIA B spinal cord injury at C7 level. CT scan revealed a C6\u20137 fracture\u2013dislocation with features suggestive of AS. The fracture involved all the three columns and extended through C7 body anteriorly and through the C6\u20137 disc posteriorly. The treating team was not aware that he had AS, and thus, precautions related to his head position were not taken. He underwent reduction of the fracture\u2013dislocation and 360\u00b0 fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The management of cervical spine fractures in patients with ankylosing spondylitis is challenging. They need long segment fixation in their preoperative spinal alignment. Proper preoperative planning can result in good outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.360906","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T03:28:48Z","timestamp":1692847728000},"page":"S296-S301","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Cervical Spine Fracture with Extreme Dislocation in a Patient with Ankylosing Spondylitis"],"prefix":"10.4103","volume":"70","author":[{"given":"Kanwaljeet","family":"Garg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahil","family":"Rafiq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashwat","family":"Mishra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankaj","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Agrawal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P Sarat","family":"Chandra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-32-20240907","doi-asserted-by":"crossref","first-page":"337","DOI":"10.4103\/0028-3886.115102","article-title":"Carrot stick fracture of cervical spine in ankylosing spondylitis","volume":"61","author":"Chittem","year":"2013","journal-title":"Neurol India"},{"key":"R2-32-20240907","first-page":"2067","article-title":"Imaging manifestations of spinal fractures in ankylosing spondylitis","volume":"26","author":"Wang","year":"2005","journal-title":"AJNR Am J Neuroradiol"},{"key":"R3-32-20240907","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1080\/02841850410001330","article-title":"Multidetector computed tomography of cervical spine fractures in ankylosing spondylitis","volume":"45","author":"Koivikko","year":"2004","journal-title":"Acta Radiol"},{"key":"R4-32-20240907","doi-asserted-by":"crossref","first-page":"E11","DOI":"10.3171\/FOC\/2008\/24\/1\/E11","article-title":"A treatment algorithm for the management of cervical spine fractures and deformity in patients with ankylosing spondylitis","volume":"24","author":"Kanter","year":"2008","journal-title":"Neurosurg Focus"},{"key":"R5-32-20240907","doi-asserted-by":"crossref","first-page":"1379","DOI":"10.1016\/S0140-6736(07)60635-7","article-title":"Ankylosing spondylitis","volume":"369","author":"Braun","year":"2007","journal-title":"Lancet"},{"key":"R6-32-20240907","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1007\/s00296-002-0237-4","article-title":"Age at disease onset and diagnosis delay in HLA-B27 negative vs. positive patients with ankylosing spondylitis","volume":"23","author":"Feldtkeller","year":"2003","journal-title":"Rheumatol Int"},{"key":"R7-32-20240907","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0049-0172(05)80011-3","article-title":"The epidemiology of ankylosing spondylitis","volume":"22","author":"Gran","year":"1993","journal-title":"Semin Arthritis Rheum"},{"key":"R8-32-20240907","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00029679-200012150-00001","article-title":"Ankylosing spondylitis","volume":"22","author":"Vender","year":"2000","journal-title":"Contemporary Neurosurg"},{"key":"R9-32-20240907","first-page":"1877","article-title":"Fracture risk in patients with ankylosing spondylitis: A population based study","volume":"21","author":"Cooper","year":"1994","journal-title":"J Rheumatol"},{"key":"R10-32-20240907","doi-asserted-by":"crossref","first-page":"741","DOI":"10.4103\/0028-3886.293470","article-title":"The 100 most-cited papers in traumatic injury of the spine","volume":"68","author":"Tariq","year":"2020","journal-title":"Neurol India"},{"key":"R11-32-20240907","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.4103\/0028-3886.329536","article-title":"Time to think beyond spine fixation for cervical spine: Aligning the whole spine","volume":"69","author":"Chandra","year":"2021","journal-title":"Neurol India"},{"key":"R12-32-20240907","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.4103\/0028-3886.329595","article-title":"Sagittal balance correction in cervical compressive myelopathy: Is it helpful?","volume":"69","author":"Panigrahi","year":"2021","journal-title":"Neurol India"},{"key":"R13-32-20240907","first-page":"929","article-title":"Bone mineral density and biochemical markers of bone metabolism in ankylosing spondylitis","volume":"25","author":"Bronson","year":"1998","journal-title":"J Rheumatol"},{"key":"R14-32-20240907","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1002\/art.1780350911","article-title":"Appendicular and vertebral bone mass in ankylosing spondylitis. 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