Skip to main content
Log in

Multiple cervical cord compressions in psoriatic arthritis

  • Originals
  • Published:
Clinical Rheumatology Aims and scope Submit manuscript

Summary

Coexistent atlantoaxial subluxation (AAS) and subaxial spondylitic changes led to multiple cervical cord compressions in a psoriatic arthritis (PA) patient. Magnetic resonance imaging and myelography were unable to define exactly which cervical lesion was responsible for neurological symptoms. After surgical intervention for the worsening of bulbar symptoms, clinical course of neurological complaints suggested that neurological involvement was due only to anterior/vertical AAS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Killebrew, K., Gold, R.H., Sholkoff, D. Psoriatic spondylitis. Radiology 1973, 108, 9–16.

    Google Scholar 

  2. Kaplan, D., Plotz, C.M., Nathanson, L., Frank, L. Cervical spine in psoriasis and in psoriatic arthritis. Ann Rheum Dis 1964, 23, 50–56.

    Google Scholar 

  3. McEwen, C., DiTata, D., Lingg, C., Porini, A., Good, A., Rankin, T. Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter's disease. Arthritis Rheum 1971, 14, 291–318.

    Google Scholar 

  4. Lambert, J.R., Wright, V. Psoriatic spondylitis: a clinical and radiological description of the spine in psoriatic arthritis. Q J Med 1977, 184, 411–425.

    Google Scholar 

  5. Blau, R.H., Kaufman, R.L. Erosive and subluxing cervical spine disease in patients with psoriatic arthritis. J Rheumatol 1987, 14, 111–117.

    Google Scholar 

  6. Lassoued, S., Hamidou, M., Fournie, B., Fournie, A. Cervical spine involvement in psoriatic arthritis. J Rheumatol 1989, 16, 251.

    Google Scholar 

  7. Peterson, C.C., Lilbiger, M.L. Reiter's syndrome and psoriatic arthritis. Their roentgen spectra and some interesting similarities. Am J Roentgenol 1967, 101, 860–871.

    Google Scholar 

  8. Sharp, J., Purser, D.W. Spontaneous atlanto-axial dislocation in ankylosing spondylitis and rheumatoid arthritis. Ann Rheum Dis 1961, 20, 47–77.

    Google Scholar 

  9. Little, H., Swinson, D.R., Cruickshank, B. Upward subluxation of the axis in ankylosing spondylitis. A clinical pathologic report. Am J Med 1976, 60, 279–285.

    Google Scholar 

  10. Fam, A.G., Cruickshank, B. Subaxial cervical subluxation and cord compression in psoriatic spondylitis. Arthritis Rheum 1982, 25, 101–106.

    Google Scholar 

  11. Yeadon, C., Dumas, J.M., Karsh, J. Lateral subluxation of the cervical spine in psoriatic arthritis: a proposed mechanism. Arthritis Rheum 1983, 26, 109–112.

    Google Scholar 

  12. Daunt, S.O.'N., Robertson, J.C. Spontaneous fusion of atlantoaxial dislocation in psoriatic spondylitis. Clin Rheumatol 1985, 4, 465–469.

    Google Scholar 

  13. Santavirta, S., Slatis, P., Sandelin, J., Lindqvist, C., Konttinen, Y.T. Atlanto-axial subluxation in patients with seronegative spondylarthritis. Rheumatol Int 1987, 7, 43–46.

    Google Scholar 

  14. Kaplan, J.G., Rosenberg, R.S., DeSouza, T., Post, K.D., Freilich, M.D., Salamon, O., Lantos, G., Reinitz, E. Atlantoxial subluxation in psoriatic arthropathy. Ann Neurol 1988, 23, 522–524.

    Google Scholar 

  15. Buskila, D., Gladman, D. Atlantoaxial subluxation in a patient with psoriatic arthritis. Arthritis Rheum 1989, 32, 1338–1339.

    Google Scholar 

  16. Katz, L.M., Emsellem, H.A., Borenstein, D.G. Evaluation of cervical spine inflammatory arthritis with somatosensory evoked potentials. J Rheumatol 1990, 17, 508–514.

    Google Scholar 

  17. Jajic, I. Radiological changes in the sacroiliac joints and spine of patients with psoriatic arthritis and psoriasis. Ann Rheum Dis 1968, 27, 1–6.

    Google Scholar 

  18. Moll, J.M.L., Wright, V. Familial occurrence of psoriatic arthritis. Ann Rheum Dis 1973, 8, 32, 181.

    Google Scholar 

  19. Kauppi, M., Sagakuchi, M., Konttinen, Y.T., Hamalainen, M. A new method of screening for vertical atlantoaxial dislocation. J Rheumatol 1989, 17, 167–172.

    Google Scholar 

  20. Bland, J.H. Rheumatoid arthritis of the cervical spine. J Rheumatol 1974, 1, 319–342.

    Google Scholar 

  21. Lipson, S.J. The cervical spine. In: Textbook of Rheumatology, 3rd ed., Eds.: Kelley, W.N., Harris, E.D. Jr., Ruddy, S., Sledge, C.B., Philadelphia, WB Saunders, 1989, 2004–2012.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Spadaro, A., Riccieri, V., Scavalli, A.S. et al. Multiple cervical cord compressions in psoriatic arthritis. Clin Rheumatol 11, 51–54 (1992). https://doi.org/10.1007/BF02207084

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02207084

Key words

Navigation