Anteroposterior atlantoaxial subluxation in cervical spine osteoarthritis: case reports and review of the literature

Nontraumatic anteroposterior atlantoaxial subluxation (AAS) has been described in several rheumatic or inherited disorders, especially rheumatoid arthritis and to a lesser extent the inflammatory spondyloarthropathies. We describe AAS secondary to osteoarthritis (OA) of the cervical spine in a 76-ye...

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Bibliographic Details
Published inJournal of rheumatology Vol. 26; no. 3; p. 687
Main Authors Daumen-Legré, V, Lafforgue, P, Champsaur, P, Chagnaud, C, Pham, T, Kasbarian, M, Acquaviva, P C
Format Journal Article
LanguageEnglish
Published Canada 01.03.1999
Subjects
Aged
Atlanto-Axial Joint - diagnostic imaging
Atlanto-Axial Joint - pathology
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - pathology
Female
Humans
Joint Dislocations - diagnostic imaging
Joint Dislocations - pathology
Male
Osteoarthritis - diagnostic imaging
Osteoarthritis - pathology
Spinal Diseases - diagnostic imaging
Spinal Diseases - pathology
Tomography, X-Ray Computed
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Summary:Nontraumatic anteroposterior atlantoaxial subluxation (AAS) has been described in several rheumatic or inherited disorders, especially rheumatoid arthritis and to a lesser extent the inflammatory spondyloarthropathies. We describe AAS secondary to osteoarthritis (OA) of the cervical spine in a 76-year-old man and a 73-year-old woman with severe cervical OA, symptomatic C1-C2 facet joints, and signs of generalized OA. Only 6 similar cases exist in the literature. OA should be added to the causes of AAS, and conversely AAS should be assessed in cases with severe OA of the upper cervical spine.
ISSN:0315-162X