Ankylosing Spondylitis Complicated with Atlantoaxial Dislocation and Destruction of the Dens and Lateral Atlantoaxial Joint: A Case Report. Issue 4 (October 2019)

• Record Type: Journal Article
• Authors: Shao, Jia; Gao, Yan Zheng; Gao, Kun; Yu, Zheng Hong
• Is Part Of: JBJS case connector. Volume 9:Issue 4(2019)
• Publication Date: 2019-10
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.19.00216
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: Non-neoplastic bone destruction, known as Andersson lesion, is not rare in ankylosing spondylitis (AS) and always appeared as bone destruction and sclerosis in the vertebral body-intervertebral disc region. The Andersson lesion has been reported mostly in the thoracic and lumbar spine and rarely in the lower cervical spine. We surgically treated a patient with AS complicated with atlantoaxial dislocation and destruction of dens and lateral atlantoaxial joint, which was similar to the Andersson lesion. Conclusions: AS can cause destructive lesion in the upper cervical spine. Posterior reduction, removal of the lesion, and fusion were possible approaches for the treatment of this destructive lesion.