Traumatic Death in Ankylosing Spondylitis

Authors: Thomsen, Asser H.1; Jurik, Anne Grethe2; Uhrenholt, Lars1; Vesterby, Annie1

Source: Journal of Forensic Sciences, Volume 55, Number 4, July 2010 , pp. 1126-1129(4)

Publisher: Wiley-Blackwell

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Abstract:

Abstract: 

Ankylosing spondylitis (AS) is a chronic rheumatic disease that causes spinal rigidity with an increased risk of spinal fractures. We present a case report where a middle-aged man, in apparent good health, died following a fall from his bike. Postmortem computed tomography (CT) showed several fractures in the cervical and thoracic spine, with displacement into the spinal canal as well as spinal changes consistent with AS. The cause of death was determined to be upper spinal cord injury caused by cervical spinal fractures that were facilitated by spinal rigidity from AS. Further investigation into the medical records revealed that the decedent had previously been treated for AS. This case report illustrates the importance of obtaining a detailed medical history when investigating deaths, including nonfatal conditions, such as AS. Furthermore, it shows the value of CT in the evaluation of the mechanism and manner of death.

Keywords: ankylosing spondylitis; forensic pathology; forensic science; radiology; spinal cord injuries; spinal fractures

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1556-4029.2010.01376.x

Affiliations: 1: Department of Forensic Medicine, Aarhus University, Brendstrupgaards Vej 100, Aarhus N DK-8200, Denmark. 2: Department of Radiology, Aarhus University Hospital, Noerrebrogade 44, 8000 Aarhus C, Denmark.

Publication date: July 1, 2010

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