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Type 2 odontoid fracture x ray8/3/2023 Also, we have reviewed some cases of odontoid fracture in AS.Ī 41-year-old man, salesman and known case of AS was referred to the trauma emergency center with walking disturbance and severe neck pain following falling two days ago. We report clinical manifestations and neurological symptoms, which are not common among patients with odontoid fracture, in our patient. The case presented here is a 41-year-old man with AS who was diagnosed with a fracture of the odontoid process following a falling trauma. Because of the larger diameter of the spinal canal at the level of the odontoid process, neurological injury is not common in odontoid fractures as a result, neurological manifestations are relatively uncommon in these cases which can delay the diagnosis. In general, odontoid fractures occur in the elderly by low-energy traumas, such as falls, or after motor vehicle accidents in the younger patients, accounting for 9%–15% of cervical fractures. Although among cervical spine fractures in patients with AS, subaxial cervical fractures are the most common, a few cases of fractures involving the odontoid process in these patients are reported in the literature, ,,. The cervical spine is the most common site for spinal fractures in patients with AS. Fourfold fracture risk is reported in some studies in patients with AS compared to the general population, which will eventually lead to low-energy fractures in the course of the disease progress. Ankylosing spondylitis (AS) is a chronic systemic rheumatic disease affecting the sacroiliac joints and spine.
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