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

Shih Tseng Lee, Tai Ngar Lui

Research output: Contribution to journalArticle

9 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)428-430
Number of pages3
JournalSurgical Neurology
Volume26
Issue number5
DOIs
Publication statusPublished - 1986
Externally publishedYes

Keywords

  • Atlantoaxial subluxation
  • Posterior fusion
  • Psoriatic spondylitis
  • Transverse atlantal ligament

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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