Spine injury following a low-energy trauma in ankylosing spondylitis: A study of two cases Frederic Savall, Fatima-Zohra Mokrane, Fabrice Dedouit, Caroline.

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Spine injury following a low-energy trauma in ankylosing spondylitis: A study of two cases Frederic Savall, Fatima-Zohra Mokrane, Fabrice Dedouit, Caroline Capuani, Céline Guilbeau-Frugier, Daniel Rougé, Norbert Telmon Forensic Science International Volume 241, Pages 123-126 (August 2014) DOI: 10.1016/j.forsciint.2014.05.018 Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 1 Post-mortem MSCT study. (A) Pericerebral haemorrhage (cause of death): axial view of subgaleal haematomas (arrow heads), subarachnoid (arrow) and subdural haemorrhage (star) with mass shifting. (B) Thin sagittal reconstruction using maximum intensity projection showing an anterior fracture of the superior endplate of T8 with discontinuity at the disk between T7 and T8 (circle). (C) Axial view of the osseous fusion of the sacroiliac joints (arrows). Forensic Science International 2014 241, 123-126DOI: (10.1016/j.forsciint.2014.05.018) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 2 Autopsy study. (A) Large subdural haemorrhage of the left convexity (star). (B) Haemorrhage in and around the T7 and T8 spine fracture. Forensic Science International 2014 241, 123-126DOI: (10.1016/j.forsciint.2014.05.018) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 3 Post-mortem MSCT study. (A) Spinal fracture and cord injury (cause of death): thin-section sagittal reconstruction using maximum intensity projection showing disjunction between C6 and C7, with a gaseous effusion in the cervical canal and crushed appearance of the cervical spinal cord. (B) Thick-section images with volume rendering showing ossification of the anterior longitudinal ligament throughout the spinal column and osseous bridging with characteristic bamboo spine configuration. Forensic Science International 2014 241, 123-126DOI: (10.1016/j.forsciint.2014.05.018) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 4 Autopsy study: disjunction between C6 and C7 surrounded by haemorrhage. Forensic Science International 2014 241, 123-126DOI: (10.1016/j.forsciint.2014.05.018) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions

Fig. 5 Histopathological study (×100): ante-mortem changes of the spinal cord due to bleeding (arrows). Forensic Science International 2014 241, 123-126DOI: (10.1016/j.forsciint.2014.05.018) Copyright © 2014 Elsevier Ireland Ltd Terms and Conditions