gms | German Medical Science

67th Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Korean Neurosurgical Society (KNS)

German Society of Neurosurgery (DGNC)

12 - 15 June 2016, Frankfurt am Main

Cervical vertebral body fracture with Ankylosing spondylitis treated with cervical pedicle screw: A case report and fracture body overlapping reduction technique

Meeting Abstract

  • Haemin Chon - Asan Medical Center, University of Ulsan
  • Jin Hoon Park - Gangneung Asan Hospital, University of Ulsan, Korea
  • Bon Sub Gu - Gangneung Asan Hospital, University of Ulsan, Korea
  • Young Seok Lee - Gangneung Asan Hospital, University of Ulsan, Korea
  • Sung Woo Roh - Asan Medical Center, University of Ulsan
  • Seung Chul Rhim - Asan Medical Center, University of Ulsan

Deutsche Gesellschaft für Neurochirurgie. 67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 1. Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS). Frankfurt am Main, 12.-15.06.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. DocP 063

doi: 10.3205/16dgnc438, urn:nbn:de:0183-16dgnc4384

Published: June 8, 2016

© 2016 Chon et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at



Objective: To describe an Ankylosing spondylitis (AS) patient with cervical spinal fracture treated with cervical pedicle screw (CPS) through single posterior approach.

Method: A 43-years-old male patient with AS visited our emergency center due to paralysis after traffic accident. Coronal reconstructed cervical spine computed tomography (CT) scan showed C5 oblique fracture and bilateral pedicles were separated superiorly and inferiorly. Sagittal reconstructed CT image revealed bamboo spine and C5 vertebrae body fracture. Hyperextension between fractured segments of C5 body was noted because fracture gap was anteriorly opened. MRI showed cord compression and injury at C4-5 level.

Results: CPS was performed at C3-4-5-6 levels. Because left and right pedicles were displaced superiorly and inferiorly, dual compressions between left C5 pedicle screw and left C6 pedicle screw and between right C5 pedicle screw and right C4 pedicle screw were done. Decompression at C4 and C5 levels was done after identifying good alignment. Then, posterolateral fusion was done. Operation interval was two hours. After surgery, X-ray showed complete reduction and fracture gap apposition were seen. Rehabilitation was done and all his muscle strengths improved. Postoperative 4 month CT and X-rays revealed complete fracture site fusion and correct position of CPS.

Conclusions: We showed that C5 vertebral body oblique fracture with AS patient was successfully treated with short level CPS and complete reduction fracture body overlapping technique only with posterior approach. Considering increased morbidity of long-level or -duration surgery, our technique seems to be one possible and good surgical method in traumatic cervical fracture with AS.