The CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review

Lu Lu Bai,1,2,* Jin Peng Du,1 Xu Kai Xue,1,* Ding Jun Hao,1 Wen Tao Wang1 1Department of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi 710054, People’s Republic of China; 2Graduate School, Xi’an Medical University, Xi’an,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bai LL, Du JP, Xue XK, Hao DJ, Wang WT
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	ankylosing spondylitis andersson lesions ct Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/9c488bd8477f445e925fe9df03ac8f73
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:9c488bd8477f445e925fe9df03ac8f73
record_format	dspace
spelling	oai:doaj.org-article:9c488bd8477f445e925fe9df03ac8f732021-12-02T12:13:18ZThe CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review1178-1998https://doaj.org/article/9c488bd8477f445e925fe9df03ac8f732020-11-01T00:00:00Zhttps://www.dovepress.com/the-ct-image-changes-in-ankylosing-spondylitis-from-fracture-to-anders-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Lu Lu Bai,1,2,* Jin Peng Du,1 Xu Kai Xue,1,* Ding Jun Hao,1 Wen Tao Wang1 1Department of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi 710054, People’s Republic of China; 2Graduate School, Xi’an Medical University, Xi’an, Shaanxi, 710021, People’s Republic of China*These authors contributed equally to this workCorrespondence: Wen Tao WangDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Youyidong Road, Xi’an, Shaanxi 710054, People’s Republic of ChinaTel/Fax +86-29-87800002Email w15686024394@163.comBackground: Ankylosing spondylitis with Andersson lesions is not rare, but its potential pathogenesis and natural course remain unclear.Case Description: We describe a case of CT image changes in ankylosing spondylitis from fracture to Andersson lesions. A 40-year-old man with a 23-year history of ankylosing spondylitis presented with acute back pain after a slight fall, and the CT showed a T12 fracture; the patient refused surgery for 12 months. The process from fracture to Andersson lesions was characterized by CT, including the subsequent interbody bone graft with internal fixation and successful bone fusion at the last follow-up. Histopathologic analysis showed degenerative fibrocartilage tissue calcification, necrotic intervertebral disc tissue, fibrovascular hyperplasia, and focal accumulation of inflammatory cells.Conclusion: Aseptic inflammation and persistent instability caused by a fracture contributed in the course from fracture to Andersson lesions in ankylosing spondylitis. CT can accurately track the pathological process, and interbody fusion via the posterior pedicle lateral approach can achieve satisfactory effectiveness, good fusion and kyphosis correction.Keywords: ankylosing spondylitis, Andersson lesions, CTBai LLDu JPXue XKHao DJWang WTDove Medical Pressarticleankylosing spondylitisandersson lesionsctGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 2227-2230 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	ankylosing spondylitis andersson lesions ct Geriatrics RC952-954.6
spellingShingle	ankylosing spondylitis andersson lesions ct Geriatrics RC952-954.6 Bai LL Du JP Xue XK Hao DJ Wang WT The CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review
description	Lu Lu Bai,1,2,* Jin Peng Du,1 Xu Kai Xue,1,* Ding Jun Hao,1 Wen Tao Wang1 1Department of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaanxi 710054, People’s Republic of China; 2Graduate School, Xi’an Medical University, Xi’an, Shaanxi, 710021, People’s Republic of China*These authors contributed equally to this workCorrespondence: Wen Tao WangDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Youyidong Road, Xi’an, Shaanxi 710054, People’s Republic of ChinaTel/Fax +86-29-87800002Email w15686024394@163.comBackground: Ankylosing spondylitis with Andersson lesions is not rare, but its potential pathogenesis and natural course remain unclear.Case Description: We describe a case of CT image changes in ankylosing spondylitis from fracture to Andersson lesions. A 40-year-old man with a 23-year history of ankylosing spondylitis presented with acute back pain after a slight fall, and the CT showed a T12 fracture; the patient refused surgery for 12 months. The process from fracture to Andersson lesions was characterized by CT, including the subsequent interbody bone graft with internal fixation and successful bone fusion at the last follow-up. Histopathologic analysis showed degenerative fibrocartilage tissue calcification, necrotic intervertebral disc tissue, fibrovascular hyperplasia, and focal accumulation of inflammatory cells.Conclusion: Aseptic inflammation and persistent instability caused by a fracture contributed in the course from fracture to Andersson lesions in ankylosing spondylitis. CT can accurately track the pathological process, and interbody fusion via the posterior pedicle lateral approach can achieve satisfactory effectiveness, good fusion and kyphosis correction.Keywords: ankylosing spondylitis, Andersson lesions, CT
format	article
author	Bai LL Du JP Xue XK Hao DJ Wang WT
author_facet	Bai LL Du JP Xue XK Hao DJ Wang WT
author_sort	Bai LL
title	The CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review
title_short	The CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review
title_full	The CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review
title_fullStr	The CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review
title_full_unstemmed	The CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review
title_sort	ct image changes in ankylosing spondylitis from fracture to andersson lesions: a case report and literature review
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/9c488bd8477f445e925fe9df03ac8f73
work_keys_str_mv	AT baill thectimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT dujp thectimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT xuexk thectimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT haodj thectimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT wangwt thectimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT baill ctimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT dujp ctimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT xuexk ctimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT haodj ctimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview AT wangwt ctimagechangesinankylosingspondylitisfromfracturetoanderssonlesionsacasereportandliteraturereview
_version_	1718394590385405952

The CT Image Changes in Ankylosing Spondylitis from Fracture to Andersson Lesions: A Case Report and Literature Review

Ejemplares similares