Cervical Myelopathy with Atlanto-Axial Instability in Sjogren’s Syndrome
10.4055/jkoa.2024.59.2.126
- Author:
Hun-Kyu SHIN
1
;
Jung-Taek IM
;
JunYeop LEE
;
Jai Hyung PARK
Author Information
1. Department of Orthopedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
- Publication Type:Case Report
- From:The Journal of the Korean Orthopaedic Association
2024;59(2):126-131
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 67-year-old female patient was admitted with posterior neck pain, motor weakness in the right upper extremity, and gait disorder.The patient had a history of Sjogren’s syndrome but no history of rheumatoid arthritis or other specific histories. The finding of cervical myelopathy was confirmed by cervical magnetic resonance imaging. As atlanto-axial instability was observed on the cervical radiography, both posterior fusion and laminectomy were performed. After surgery, the pain decreased and neurological symptoms improved immediately. Thus, in Sjogren’s syndrome, we should pay attention to the presence of atlanto-axial instability in the cervical radiograph.
