Rheumatology International

, Volume 7, Issue 1, pp 43–46 | Cite as

Atlanto-axial subluxation in patients with seronegative spondylarthritis

  • S. Santavirta
  • P. Slätis
  • J. Sandelin
  • C. Lindqvist
  • Y. T. Konttinen
Case Reports


Two patients with seronegative HLA-B27-connected spondylarthropathy, associated in one case with psoriasis and in the other with Reiter's disease, who had atlanto-axial subluxation (AAS) are reported. The AAS caused muscle weakness and intractable occipito-cervical pain. Both patients were treated operatively with a Gallie type C1–C2 fusion. The symptoms subsided following surgery and the patients remained free of cervical spine discomfort. The report also indicates that the rarer variants of the HLA-B27 associated chronic seronegative spondylarthropathies may cause AAS complicated by neurological symptoms and that the disorder is amenable to surgical intervention.

Key words

Atlanto-axial subluxation Seronegative spondylarthropathy Psoriasis arthritis Reiter's disease Occipito-cervical pain 


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Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • S. Santavirta
    • 1
  • P. Slätis
    • 1
  • J. Sandelin
    • 1
  • C. Lindqvist
    • 1
  • Y. T. Konttinen
    • 2
  1. 1.The Division of Orthopaedic Surgery and TraumatologySurgical HospitalHelsinkiFinland
  2. 2.Fourth Department of Medicine, Division of Rheumatic DiseasesUniversity Central HospitalHelsinkiFinland

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