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Rehabilitation Practice and Science

Translated Title

僵直性脊椎炎患者併第十 、十一胸椎骨析－病例報告

Abstract

A forty-seven-year-old male patient fell down from a tricycle. He suffered from severe back pain and bilateral lower leg soreness. Undiagnosed ankylosing Spondylitis with T10,T11 vertebral transverse fracture was impressed after examination. The patient received conservative rehabilitation program including complete bed rest, interferential current (IFC) therapy, local heat and strengthening exercise of trunk and limbs muscles. Knight-Taylor spinal orthosis was prescribed later for spinal stability. After 5 weeks therapy, he was discharged and followed regularly in the outpatient department. At present, daily activity of the patient is nearly normal and lower leg soreness is subsided . He does not suffer from significant neurological complication except mid-back pain occasionally .This casereport reminds us about the following concepts: 1. For early detection and adequate management of spinal fracture, the physician should pay much attention to history taking and clinical examination as back pain or trivial injury occurred in patient with A.S. 2. Even if there is no neurological deficit occurred following spinal fracture in patient with A.S., educate the patient to protect the spine and avoid trauma is crucial for prevention of neurological deficit of delayed onset.

Language

Traditional Chinese

First Page

159

Last Page

165

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