Abstract
The atlantoaxial subluxation and the formation of a synovial periodontoid pannus are associated with rheumatoid arthritis causing mechanical compression of the spinal cord and cervical myelopathy. Atlantoaxial subluxation is very rare in psoriatic arthritis (PsA). Even more rare is the formation of a periodontoid synovial pannus associated with PsA and signs of myelopathy. In this report, cervical myelopathy caused by periodontoid synovial pannus in PsA is described.
References
Ory PA, Gladman DD, Mease PJ (2005) Psoriatic arthritis and imaging. Ann Rheum Dis 64(Supl II):ii55–ii57
Rahman P, Nguyen E, Cheung C, Schentag CT, Gladman DD (2001) Comparison of radiological severity in psoriatic arthritis and rheumatoid arthritis. J Rheumatol 28:1041–1044
Gladman DD, Shuckett R, Russell ML, Thorne JC, Schachter RK (1987) Psoriatic arthritis (PsA)—an analysis of 220 patients. Q J Med 62:127–141
Van Der Heijde D, Sharp J, Wassenberg S, Gladmann DD (2005) Psoriatic arthritis imaging: a review of scoring methods. Ann Rheum Dis 64(Suppl II):ii61–ii64
Laiho K, Kauppi M (2002) The cervical spine in patients with psoriatic arthritis. Ann Rheum Dis 61:650–652
Lassoued S, Hamidou M, Fournie B, Fournie A (1989) Cervical spine involvement in psoriatic arthritis. J Rheumatol 16:251–252
Lu K, Lee TC (1999) Spontaneous regression of periodontoid pannus mass in psoriatic atlantoaxial subluxation: case report. Spine 24(6):578–581
Buskila D, Gladman DD (1989) Atlantoaxial subluxation in a patient with psoriatic arthritis. Arthritis Rheum 32:1338–1339
Kaplan JG, Rosengerg RS, DeSouza T et al (1988) Atlantoaxial subluxation in psoriatic arthropathy. Ann Neurol 23:522–524
Santavirta S, Slatis P, Sandelin J, Lindqvist C, Konttinen T (1987) Atlanto-axial subluxation in patients with seronegative spondyloarthritis. Rheumatol Int 7:43–46
Sosner J, Fast A, Kahan BS (1996) Odontoid fracture and C1–C2 subluxation in psoriatic cervical spondyloarthropathy. A case report. Spine 21:519–521
Milbrink J, Nyman R (1990) Posterior stabilization of the cervical spine in rheumatoid arthritis. Clinical results and magnetic resonance imaging correlation. J Spinal Disord 3:308–315
Larsson EM, Holtas S, Zygmunt S (1989) Pre- and postoperative MR imaging of the craniocervical junction in rheumatoid arthritis. Am J Roentgenol 152:561–566
Sukoff MH, Kadin MM, Moran T (1972) Transoral decompression for myelopathy caused by rheumatoid arthritis of the cervical spine: case report. J Neurosurg 37:493–497
Kelley W, Harris ED Jr, Ruddy S, Sledge CB (1997) Textbook of rheumatology, 5th edn. Saunders, Philadelphia, pp 999–1004
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Quarta, L., Corrado, A., Melillo, N. et al. Cervical myelopathy caused by periodontoid synovial pannus in a patient with psoriatic arthritis: a case report. Clin Rheumatol 26, 1380–1382 (2007). https://doi.org/10.1007/s10067-006-0409-9
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DOI: https://doi.org/10.1007/s10067-006-0409-9