A rare case of ankylosing spondylitis combined with incomplete paralysis

A 64-year-old man, who had been diagnosed with ankylosing spondylitis(AS) for thirty years, presented with back pain, urinary incontinence, lower extremity paraparesis and hypoesthesia below L3 for 1 year. Lateral X-ray film of the whole spine showed typical AS with kyphosis deformity and the apical segment was T12, the sagittal plane image of spinal CT reconstruction revealed suspicious old fracture at T11-12 and several striped bony separation in the lumbar spinal canal. The X-ray film of pelvis showed bony fusion and stiffness at bilateral sacroiliac joints and hip joints (Figure 1).

Source: The Spine Journal - January 25, 2016 Category: Orthopaedics Authors: Hongtao Liu, Lei Wang, Yueming Song Tags: Images of Spine Care Source Type: research