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DOI:10.2214/AJR.08.1616
AJR 2009; 192:987-995
© American Roentgen Ray Society


Pictorial Essay

Fractures of the Ankylosed Spine: MDCT and MRI with Emphasis on Individual Anatomic Spinal Structures

Raphaël Campagna1, Eric Pessis1, Antoine Feydy1, Henri Guerini1, Fabrice Thévenin1, Alain Chevrot1 and Jean-Luc Drapé1

1 All authors: Service de Radiologie B, Hôpital Cochin, 27 rue du Faubourg Saint Jacques, 75679 Paris Cedex 14, France.

OBJECTIVE. The purpose of this article is to illustrate the spectrum of MDCT and MRI appearances of spinal fractures in ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis.

CONCLUSION. Spinal fractures associated with ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis usually involve the three columns of the spine, and injury to the posterior osteoligamentous component is the hallmark of these fractures. Osseous and ligamentous injuries can be accurately visualized and analyzed with MDCT with multiplanar reformation and with MRI.

Keywords: ankylosed spine • CT • MRI • spinal fracture • spine


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