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

Shih Tseng Lee, Tai Ngar Lui

Research output: Contribution to journalArticle

8 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

Fingerprint

Spondylitis
Psoriatic Arthritis
Spinal Cord Diseases
Spine
X-Rays
Wounds and Injuries

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Psoriatic arthritis with C-1-C-2 subluxation as a neurosurgical complication. / Lee, Shih Tseng; Lui, Tai Ngar.

In: Surgical Neurology, Vol. 26, No. 5, 1986, p. 428-430.

Research output: Contribution to journalArticle

Lee, Shih Tseng ; Lui, Tai Ngar. / Psoriatic arthritis with C-1-C-2 subluxation as a neurosurgical complication. In: Surgical Neurology. 1986 ; Vol. 26, No. 5. pp. 428-430.
@article{a0121fe74f374665af652b785eea6295,
title = "Psoriatic arthritis with C-1-C-2 subluxation as a neurosurgical complication",
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.",
keywords = "Atlantoaxial subluxation, Posterior fusion, Psoriatic spondylitis, Transverse atlantal ligament",
author = "Lee, {Shih Tseng} and Lui, {Tai Ngar}",
year = "1986",
doi = "10.1016/0090-3019(86)90253-3",
language = "English",
volume = "26",
pages = "428--430",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Psoriatic arthritis with C-1-C-2 subluxation as a neurosurgical complication

AU - Lee, Shih Tseng

AU - Lui, Tai Ngar

PY - 1986

Y1 - 1986

N2 - 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.

AB - 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.

KW - Atlantoaxial subluxation

KW - Posterior fusion

KW - Psoriatic spondylitis

KW - Transverse atlantal ligament

UR - http://www.scopus.com/inward/record.url?scp=0022454617&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0022454617&partnerID=8YFLogxK

U2 - 10.1016/0090-3019(86)90253-3

DO - 10.1016/0090-3019(86)90253-3

M3 - Article

VL - 26

SP - 428

EP - 430

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

IS - 5

ER -