Cervical Myelopathy Resulting From Non-Rheumatoid Atlantoaxial
Subluxation

J Korean Neurol Assoc > Volume 30(3); 2012 > Article

Journal of the Korean Neurological Association 2012;30(3): 196-199.

비류마티스 환축추 불완전탈구에서 발생한 경부척수병

김진옥, 김효정 윤동주 고영채 장상현 윤수진 오건세 이수주

을지대학교 의과대학 을지대학병원 신경과

Cervical Myelopathy Resulting From Non-Rheumatoid Atlantoaxial Subluxation

Jin Ok Kim

Department of Neurology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea

Abstract

Degenerative pannus arising from the atlanto-axial articulation is a rare entity, which is associated with chronic atlanto-axial instability in degenerative arthropathies. Due to cervical instability and the mass effect on the spinal cord, it can produce severe neck pain and compressive myelopathy. We report a case of cervical myelopathy resulting from non-rheumatoid atlanto-axial subluxation. The posterior stabilization provided excellent neurological improvement and pannus regression. Early recognition of this condition is important as the clinical condition will deteriorate without surgical interventions. Key Words: Atlantoaxial subluxation, Myelopathy, Osteoarthritis