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Journal of Korean Neurosurgical Society 2002;31(5): 505-508.
Atlantoaxial Subluxation due to Psoriatic Arthritis.
Seung Ku Lee, Seong Hoon Oh, Woo Taek Rhee, Jin Whan Chung, Hyeong Joong Yi, Young Soo Kim, Yong Ko, Kwang Myung Kim, Suck Jun Oh
Department of Neurosurgery, School of Medicine, Hanyang University Medical Center, Seoul, Korea.
Atlantoaxial subluxation causing spinal cord compression at the craniovertebral junction may develop in patients with rheumatoid or psoriatic arthritis. There have been only a few reports of atlantoaxial subluxation in patients with psoriatic arthritis in the world. The authors report a case of psoriatic arthritis with atlantoaxial subluxation accompaning periodontoid pannus formation. This 53-year-old man with a 3-year history of psoriatic skin lesion presented with nuchal pain and myelopathy. We performed decompression by C1 total laminectomy with transarticular screw fixation and obtained remarkable improvement in motor function and immediate postoperative stability.
Key Words: Atlantoaxial subluxation; Pannus formation; Psoriatic arthritis; Transarticular screw fixation
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