Document Detail


Odontoid fracture and C1-C2 subluxation in psoriatic cervical spondyloarthropathy. A case report.
MedLine Citation:
PMID:  8658259     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Case presentation and review of pertinent literature. OBJECTIVES: To present an unusual case and alert other physicians to possible missed diagnoses. SUMMARY OF BACKGROUND DATA: An unusual case is presented of a young man with server psoriatic spondyloarthropathy and fusion of C2-C7 (Type II cervical psoriatic ankylosing disease) who fell at home, sustaining an unrecognized fracture of the odontoid process leading to subluxation of C1-C2 and the transitory tetraplegia. The patient presented with torticollis, and the fracture was unrecognized for a long period of time. METHODS: Case presentation. RESULTS: This patient became independent in all activities of daily living after surgery and rehabilitation despite persistence of torticollis. CONCLUSIONS: A patient who presents clinically with traumatic torticollis after minor trauma and who also has psoriasis and ankylosis of the cervical spine should be suspected of having a fracture-subluxation until definitely proven otherwise. In the present case, the late diagnosis delayed surgical stabilization.
Authors:
J Sosner; A Fast; B S Kahan
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Spine     Volume:  21     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1996-07-30     Completed Date:  1996-07-30     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  519-21     Citation Subset:  IM    
Affiliation:
Department of Physical Medicine, St. Vincent's Hospital and Medical Center of New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthritis, Psoriatic / complications*,  radiography
Diagnostic Errors
Dislocations / etiology*
Humans
Male
Odontoid Process / injuries*,  radiography,  surgery
Spinal Fractures / etiology*,  radiography,  surgery
Spondylitis, Ankylosing / complications*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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