Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightA thorough preoperative assessment is essential to prevent the missed diagnosis of spinal fractureand minimise deterioration due to its dislocation, with specific spine precaution during transport, transfer and positioning.
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Özet
Ankylosing spondylitis (AS) is vulnerable to fracture, and the missed diagnosis can lead to neurological deterioration. Herein, we present theconus medullaris syndrome due to aggravation of the missed spinal fracture in an 85-year-old woman with AS who underwent hip surgery. Sheunderwent osteosynthesis in a supine position with supports under her shoulders and head due to spine deformity with AS, but was fully supinewithout supports after surgery. She showed complete paraplegia at postoperative 12 h. The re-reading radiological imaging showed the missedspinal fracture, of which the deteriorated dislocation was revealed on the re-examined radiological evaluation. This deterioration was not recovered ultimately despite an emergent surgery. A thorough preoperative assessment is essential to prevent the missed diagnosis of spinal fractureand minimise deterioration due to its dislocation, with specific spine precaution during transport, transfer and positioning.