强直性脊柱炎患者咽穿孔伴发C6脊柱骨折-SAGEJournals.PDFVIP

Hong Kong Journal of Emergency Medicine Concomitant pharyngeal perforation and C6 spinal fracture in a patient with ankylosing spondylitis C6 TJ Liu , SC Lu , MM Chu , ST Chang A direct blunt inj ury to the cervical spine is a clinically crucial issue and misdiagnosis of adj acent tissue lesion of neck may lead to poor outcomes. We present a patient with ankylosing spondylitis, who suffered from a perforation in pharynx following a neck inj ury. The extent of the occult right pharyngeal wall perforation may have initially been less and hence undetectable by radiological screening, either X-ray radiology or computed tomography. The combination of continuation of oral feeding and ligamentous ossification/ fragility of the cervical spine accounted for the resultant pharyngeal perforation. (Hong Kong j .emerg.med. 20 14;2 1:44-47) 1 X Keywords: Human, vertebral ankylosing hyperostosis, spinal injuries Correspondence to: Introduction Chang Shin Tsu, MD, MS, PhD Tri-Service General Hospital, School of Medicine, Department of Physical Medicine and Rehabilitation, National Defense Direct blunt trauma of the cervical spine is a clinically Medical Center, Taipei; Taichung Veterans General Hospital, crucial issue, and omission of adj acent tissue lesion Department of Phys