Diffüz idiyopatik iskelet hiperostozlu bir hastada minör travma ile gelişen subakut torakal omurilik yaralanması
Abstract
Ankiloze omurgalar, değişen biyomekanik
özelliklerinden dolayı minör travma sonrasında bile kırılma eğilimi
gösterebilirler. Ankilozlu omurgadaki kırıklar, yumuşak dokuların ossifikasyonu
nedeniyle genellikle instabildir ve dislokasyona neden olarak nörolojik defisit
oluşturabilir. Diffüz idiyopatik iskelet hiperostozu (DISH); ileri yaşta ve
erkeklerde daha sık görülen, etiyolojisi tam olarak bilinmeyen, sıklıkla
vertebral kolonun anterior longitudinal ligamenti ve entezis bölgelerinde
ossifikasyon ile karakterize, sistemik, noninflamatuvar bir iskelet
hastalığıdır. Ossifikasyon omurganın mobilitesini azaltmakta ve ileri dönemde
ankiloza yol açabilmektedir. Bu yazıda minör travma sonrası akut dönemde tanı
almamış, subakut dönemde omurga fraktürü ve spinal kord yaralanması gelişmiş
bir DISH olgusunun literatür eşliğinde sunulması amaçlanmaktadır.
References
- Kurtaran A, Özdemir S, Selçuk B, Yıldırım Ö, Değirmenci İ, Akyüz M. Servikal bölgedeki yaygın idiopatik iskelet hiperostozuna bağlı gelişen santral kord sendromu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 2012;58(4):326-8.
- Belanger TA, Rowe DE. Diffuse idiopathic skeletal hyperostosis: Musculoskeletal manifestations. J Am Acad Orthop Surg 2001;9(4):258-67.
- Resnick D. Diffuse idiopathic skeletal hyperostosis. In: Resnick D (ed). Diagnosis of Bone and Joint Disorders. 4th ed., Philadelphia; Saunders; 2002;1476-1503.
- Wang YF, Teng MM, Chang CY, Wu HT, Wang ST. Imaging manifestations of spinal fractures in ankylosing spondylitis. Am J Neuroradiol 2005;26(8):2067-76.
- Graham B, Van Peteghem PK. Fractures of the spine in ankylosing spondylitis. Diagnosis, treatment, and complications. Spine 1989;14(8):803-7.
- Secin FP, Poggi EJT, Luzuriaga F, Laffaye HA. Disabling injuries of the cervical spine in Argentine rugby over the last 20 years. Br J Sports Med 1999;33(1):33-6.
- Hendrix RW, Melany M, Miller F, Rogers LF. Fracture of the spine in patients with ankylosis due to diffuse skeletal hyperostosis: Clinical and imaging findings. Am J Roentgenol 1994;162 (4):899-904.
- Schroder J, Liljenqvist U, Greiner C, Wassmann H. Complications of halo treatment for cervical spine injuries in patients with ankylosing spondylitis--report of three cases. Arch Orthop Trauma Surg 2003;123(2-3):112-4.
- Corke CF. Spinal fracture and paraplegia after minimal trauma in a patient with ankylosing vertebral hyperostosis. Br Med J 1981;282(6281):2035.
Subacute thoracic spinal cord injury caused by minor trauma in a patient with diffuse idiopathic skeletal hyperostosis
Abstract
The ankylosed spines are prone to fracture after
minor trauma due to its changed biomechanical properties. Fractures in the
ankylosed spine are often unstable due to the ossification of supportive and
elastic soft tissues and may cause neurologic deficit as a result of
dislocation. Diffuse idiopathic skeletal hyperostosis (DISH) is a systemic,
noninflammatory skeletal disease characterized by ossification in the anterior
longitudinal ligament of the vertebral column and entheses, which is more
common in elderly and males and whose etiology is not known. Ossification
reduces the mobility of the spinal cord and may lead to ankylosis in the
future. In this article, we present case of DISH which has not been diagnosed
in acute period after minor trauma and has developed spinal fracture and spinal
cord injury in subacute period.
References
- Kurtaran A, Özdemir S, Selçuk B, Yıldırım Ö, Değirmenci İ, Akyüz M. Servikal bölgedeki yaygın idiopatik iskelet hiperostozuna bağlı gelişen santral kord sendromu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 2012;58(4):326-8.
- Belanger TA, Rowe DE. Diffuse idiopathic skeletal hyperostosis: Musculoskeletal manifestations. J Am Acad Orthop Surg 2001;9(4):258-67.
- Resnick D. Diffuse idiopathic skeletal hyperostosis. In: Resnick D (ed). Diagnosis of Bone and Joint Disorders. 4th ed., Philadelphia; Saunders; 2002;1476-1503.
- Wang YF, Teng MM, Chang CY, Wu HT, Wang ST. Imaging manifestations of spinal fractures in ankylosing spondylitis. Am J Neuroradiol 2005;26(8):2067-76.
- Graham B, Van Peteghem PK. Fractures of the spine in ankylosing spondylitis. Diagnosis, treatment, and complications. Spine 1989;14(8):803-7.
- Secin FP, Poggi EJT, Luzuriaga F, Laffaye HA. Disabling injuries of the cervical spine in Argentine rugby over the last 20 years. Br J Sports Med 1999;33(1):33-6.
- Hendrix RW, Melany M, Miller F, Rogers LF. Fracture of the spine in patients with ankylosis due to diffuse skeletal hyperostosis: Clinical and imaging findings. Am J Roentgenol 1994;162 (4):899-904.
- Schroder J, Liljenqvist U, Greiner C, Wassmann H. Complications of halo treatment for cervical spine injuries in patients with ankylosing spondylitis--report of three cases. Arch Orthop Trauma Surg 2003;123(2-3):112-4.
- Corke CF. Spinal fracture and paraplegia after minimal trauma in a patient with ankylosing vertebral hyperostosis. Br Med J 1981;282(6281):2035.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 3, 2018 |
| Submission Date | September 28, 2017 |
| Published in Issue | Year 2018 |