A previously healthy 46-year-old male presented to the emergency department with the sole complaint of lower back pain after being struck by a car while walking. Physical examination revealed the patient to be hemodynamicaly stable and in moderate distress secondary to back pain.
A 66-year-old man with a history of ankylosing spondylitis presented to the emergency department as a trauma activation after a fall backward onto his sacrum from the bottom rung of a ladder.