PMID: 3764646Nov 1, 1986Paper

Psoriatic arthritis with C-1-C-2 subluxation as a neurosurgical complication

Surgical Neurology
S T Lee, T N Lui

Abstract

A 39-year-old man presented with a 10-year history of psoriatic arthritis, and more recently a progressive high cervical myelopathy. The development of the myelopathy syndrome was unassociated with trauma or any other specific inciting cause. Cervical spine x-rays demonstrated a significant atlantoaxial subluxation. Other x-ray features of the spine met the criteria for diagnosis of psoriatic spondylitis. The association of a high cervical myelopathy with atlantoaxial subluxation in psoriatic spondylitis is rare. Conversely, atlantoaxial subluxation without high cervical myelopathy has been reported in 45% of cases of psoriatic spondylitis. The authors report this case with a review of the diagnosis, possible pathogenesis, and treatment of atlantoaxial subluxation in psoriatic spondylitis.

References

Jul 1, 1973·Radiology·K KillebrewS D Sholkoff
Nov 1, 1984·British Journal of Rheumatology·R ScarpaC Biondi Oriente
Jan 1, 1982·Arthritis and Rheumatism·A G Fam, B Cruickshank

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Citations

Jan 21, 2004·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·John D LaidlawKevin H Siu
Jan 1, 1996·Scandinavian Journal of Rheumatology·S AkagiR Ogawa

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