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Compression Fracture in Ankylosing Spondylitis: A Case Report

NICHOLAS ANTAO*, CLEVIO DESOUZA

Compression fractures are the most common vertebral fractures. They involve the anterior column of the spine, and are considered stable fractures due to the presence of intact posterior ligaments that resist further collapse and deformity of the spine. Hence, they are often managed conservatively.

We describe a case that was initially diagnosed as compression fractures and managed conservatively. With the abundance of compression fractures and increase in preference for conservative management of compression fractures, it is of utmost importance to recognize the possibility of other spinal co-pathology, especially that of hyperostosis of the spine, both by clinical judgment as well as radiological analysis before embarking on conservative management, should there be under-treatment and development of complications that could have otherwise been avoided, as in the case presented in this report.