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  Indian J Med Microbiol
 

Figure 1: This patient with ankylosing spondylitis presented with axial pain after a trivial fall. CT showed a fracture line through the anterior part of L1 (sagittal and coronal images (a and b). The patient was advised a brace and regular follow-up. However, he presented 2 months later with worsening back pain. MRI and lateral x-ray now demonstrated pseudarthrosis at L1 (c and d). In view of the autofused spine and osteopenia, the patient was treated with posterior spinal stabilization from T11–L3 (e and f). The fracture has healed completely as seen in the CT and lateral radiographs performed after 3 years (g and h). MRI: Magnetic resonance imaging, CT: Computed tomography

Figure 1: This patient with ankylosing spondylitis presented with axial pain after a trivial fall. CT showed a fracture line through the anterior part of L1 (sagittal and coronal images (a and b). The patient was advised a brace and regular follow-up. However, he presented 2 months later with worsening back pain. MRI and lateral x-ray now demonstrated pseudarthrosis at L1 (c and d). In view of the autofused spine and osteopenia, the patient was treated with posterior spinal stabilization from T11–L3 (e and f). The fracture has healed completely as seen in the CT and lateral radiographs performed after 3 years (g and h). MRI: Magnetic resonance imaging, CT: Computed tomography