Is a cervical spine fracture a common cause of flexion deformity in patients with AS

Yes. Late flexion deformity of the cervical spine may result from a nondiagnosed fracture that heals in a displaced position. The site of injury is usually in the lower cervical spine or at the cervicothoracic junction. The fracture is generally a transversely oriented shear-type fracture. This injury may not be obvious on plain radiographs, and computed tomography (CT) scans and MRI are required for diagnosis. An epidural hematoma may occur and constitutes a surgical emergency in this population.

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