Atlantoaxial subluxation as a complication of early ankylosing spondylitis
β Scribed by Steven Sorin; Ali Askari; Roland W. Moskowitz
- Publisher
- John Wiley and Sons
- Year
- 1979
- Tongue
- English
- Weight
- 643 KB
- Volume
- 22
- Category
- Article
- ISSN
- 0004-3591
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β¦ Synopsis
Abstract
Atlantoaxial subluxation is uncommon in ankylosing spondylitis, especially early in the course of the disease. Two patients are described in whom atlantoaxial subluxation occurred early in the course of otherwise typical ankylosing spondylitis. The presumed mechanism is localized synovitis producing laxity or rupture of the transverse ligament. Cervical roentgenograms in maximal flexion and extension are necessary to evaluate both the degree of subluxation and the risk of cord compression.
π SIMILAR VOLUMES
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Axial traction is widely recommended for stabilization of cervical spine fractures. This procedure may be inappropriate and even dangerous in patients with long-standing ankylosing spondylitis (AS). We present the case of an 80-year-old woman with AS who fell at home and suffered an unstable large C