抄録
Ankylosing spondylitis is slowly progressive, leading to bony ankylosis of the sacroiliac joint, apophyseal joint, and hip joint. It also greatly increases the risk of spine and spinal cord injury, even from relatively trivial trauma a such as minor falls.
We report a case of ankylosing spondylitis in a 53-year-old man who sustained thoracic spinal coard injury due to traffic accident. The Highest dysfunctional neurologic level was at Th. 5 and plain X-P showed a dislocation at the level of Th. 5/6 on admission. The patient was managed conservatively following the standard regimen. High-dose steroid was administered intravenously. But the Highest dysfunctional neurologic level was acutely progressing C3 in 2 days, and the patient became ventilater-dependent.
