Atlantoaxial Subluxation in an Adolescent with Undifferentiated Spondyloarthritis
Author Information
Author(s): Eyal Muscal, Satyan Krishna, Andrew Jea
Primary Institution: Baylor College of Medicine, Texas Children's Hospital
Hypothesis
Can atlantoaxial subluxation be an early manifestation of undifferentiated spondyloarthritis in adolescents?
Conclusion
Atlantoaxial instability may be an early manifestation of spondyloarthritis in children and adolescents, and it is treatable through surgical intervention and immunomodulation.
Supporting Evidence
- Atlantoaxial instability has been reported as a first sign in juvenile ankylosing spondylitis.
- Imaging studies showed evidence of bony erosion and instability.
- Surgical intervention led to symptom relief and improved neurological status.
Takeaway
A girl with neck pain had a serious condition called atlantoaxial subluxation, which is when the top two bones in the neck are unstable. Doctors fixed it with surgery and medicine.
Methodology
The case report details the clinical evaluation, imaging studies, surgical intervention, and post-operative management of a 17-year-old patient.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
17-year-old Hispanic female.
Digital Object Identifier (DOI)
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