Preview

Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

Advanced search

Lesion of the craniovertebral junction in ankylosing spondylitis: rare clinical observations

https://doi.org/10.14531/2018.4.27-31

Abstract

Two cases of surgical treatment for lesions of the craniovertebral junction in patients with ankylosing spondylitis accompanied by severe neurological symptoms are described. Patients underwent one-step combined interventions. The first stage included occipitospondylodesis using screw instrumentation, and the second – transoral removal of the C2 odontoid process. Surgical treatment resulted in elimination of the spinal cord compression, regression of neurological deficit existed in patients before surgery, and achievement of stable fixation in the intervention area.

About the Authors

I. Yu. Lisitsky
Moscow Regional Research Clinical Institute n.a. M.F. Vladimirsky
Russian Federation

MD, PhD, senior researcher of Neurosurgical Department

Shchepkina str., 61/2, Moscow, 129110



А. М. Kiselev
Moscow Regional Research Clinical Institute n.a. M.F. Vladimirsky
Russian Federation

DMSc, Prof., head of Neurosurgical Department

Shchepkina str., 61/2, Moscow, 129110



References

1. Dean LE, Jones GT, MacDonald AG, Downham C, Sturrock RD, Macfarlane GJ. Global prevalence of ankylosing spondylitis. Rheumatology (Oxford). 2014;53:650–657. DOI: 10.1093/rheumatology/ket387.

2. Albert GW, Menezes AH. Ankylosing spondylitis of the craniovertebral junction: a single surgeon’s experience. J Neurosurg Spine. 2011;14:429–436. DOI: 10.3171/2010.11. SPINE10279.

3. Wilkinson M, Bywaters EG. Clinical features and course of ankylosing spondylitis; as seen in a follow-up of 222 hospital referred cases. Ann Rheum Dis. 1958;17:209–228.

4. Suarez-Almazor ME, Russell AS. Anterior atlantoaxial subluxation in patients with spondyloarthropathies: association with peripheral disease. J Rheumatol. 1998;15:973–975.

5. Sorin S, Askari A, Moskowitz RW. Atlantoaxial subluxation as a complication of early ankylosing spondylitis. Two cases reports and a review of the literature. Arthritis Rheum. 1979;22:273–276. DOI: 10.1002/art.1780220309.

6. Martel W, Page JW. Cervical vertebral erosions and subluxations in rheumatoid arthritis and ankylosing spondylitis. Arthritis Rheum. 1960;3:546–556. DOI: 10.1002/art.1780030608.


Review

For citations:


Lisitsky I.Yu., Kiselev А.М. Lesion of the craniovertebral junction in ankylosing spondylitis: rare clinical observations. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2018;15(4):27-31. https://doi.org/10.14531/2018.4.27-31



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)