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J R Soc Med. 1985 May; 78(5): 377–379.
PMCID: PMC1289718

Internal fixation for stress fractures of the ankylosed spine.


Three cases of stress fractures affecting the rigid spine of ankylosing spondylitis are reported. Even without the typical destructive features of the Romanus lesion, symptoms may be very prolonged and disabling and the diagnosis difficult. Internal fixation produces immediate pain relief and rapid fracture union.

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Selected References

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  • Hanson CA, Shagrin JW, Duncan H. Vertebral osteoporosis in ankylosing spondylitis. Clin Orthop Relat Res. 1971 Jan;74:59–64. [PubMed]
  • ROMANUS R, YDEN S. Destructive and ossifying spondylitic changes in rheumatoid ankylosing spondylitis (pelvo-spondylitis ossificans). Acta Orthop Scand. 1952;22(2):88–99. [PubMed]
  • Sutherland RI, Matheson D. Inflammatory involvement of vertebrae in ankylosing spondylitis. J Rheumatol. 1975 Sep;2(3):296–302. [PubMed]
  • Yau AC, Chan RN. Stress fracture of the fused lumbo-dorsal spine in ankylosing spondylitis. A report of three cases. J Bone Joint Surg Br. 1974 Nov;56-B(4):681–687. [PubMed]

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