International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

   
Case Report
 
Tetraplegia developing with skull traction in patients with ankylosing spondylitis: A case report
Emrullah Hayta1, Ahmet Karadağ1, Cesur Gumus2
1Assistant Professor, Cumhuriyet University, Faculty of Medicine, Deparment of Physical Medicine and Rehabilitation, Sivas, Turkey.
2Professor, Cumhuriyet University, Faculty of Medicine, Deparment of Radiology, Sivas, Turkey.

doi:10.5348/ijcri-201617-CR-10604

Address correspondence to:
Emrullah Hayta
Cumhuriyet University, Faculty of Medicine
Department of Physical Medicine and Rehabilitation
58141 Sivas
Turkey

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How to cite this article
Hayta E, Karadag A, Gumus C. Tetraplegia developing with skull traction in patients with ankylosing spondylitis: A case report. Int J Case Rep Images 2016;7(2):111–114.


Abstract
Introduction: Traffic accidents appear to be one of the frequently encountered causes of spinal cord injury (SPI) in patients with ankylosing spondylitis. The risk of spinal cord injury is 11.4 times higher in patients with AS compared to the healthy population. Although the fractures might be seen in any part of the spine, they most frequently occur in cervical region.
Case Report: Our subject in this case is a 62-year-old patient diagnosed with AS who had isolated muscle strength loss following a traffic accident. The patient was provided skull traction treatment having sustained a fracture in his C7 in a traffic accident, and he developed tetraplegia as a result.
Conclusion: Our objective with this case report is to emphasize that stress loading treatment methods such as skull traction which apply force to bone in fractures arising from traumas in patients with AS could lead to extremely severe neurological injuries.

Keywords: Ankylosing spondylitis, Rehabilitation, Skull traction, Spinal cord injury


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Author Contributions
Emrullah Hayta – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ahmet Karadağ – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Cesur Gumus – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Emrullah Hayta et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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