title: The surgical management of atlanto-axial subluxation in juvenile rheumatoid arthritis.
abstract: Juvenile idiopathic arthritis (JIA) is a chronic condition affecting patients <16 years of age and can be associated with substantial morbidity. Atlanto-axial subluxation (AAS) is a known complication of JIA and can result in pain, reduced neck motion and neurological compromise. In this paper, we present the case of a 10-year old suffering with JIA and significant AAS; we discuss the management options and present the approach and outcome of treatment for this case.
authors.affiliation: Centre for Spinal Studies and Surgery, Queen's Medical Centre Campus, Nottingham University Hospital NHS Trust, Nottingham, NG7 2UH, UK.
authors.forename: Khalid M I
authors.initials: KM
authors.lastname: Salem
authors.affiliation: Centre for Spinal Studies and Surgery, Queen's Medical Centre Campus, Nottingham University Hospital NHS Trust, Nottingham, NG7 2UH, UK.
authors.forename: Ajay
authors.initials: A
authors.lastname: Radhakrishnan
authors.affiliation: Centre for Spinal Studies and Surgery, Queen's Medical Centre Campus, Nottingham University Hospital NHS Trust, Nottingham, NG7 2UH, UK.
authors.forename: Eyal
authors.initials: E
authors.lastname: Behrbalk
authors.affiliation: Centre for Spinal Studies and Surgery, Queen's Medical Centre Campus, Nottingham University Hospital NHS Trust, Nottingham, NG7 2UH, UK. bronek.boszczyk@nuh.nhs.uk.
authors.forename: B M
authors.initials: BM
authors.lastname: Boszczyk
mesh_terms: D001171:Arthritis, Juvenile / Q000150:complications / Q000000981:diagnostic imaging*; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging* / Q000601:surgery; D002648:Child; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D008297:Male; D012189:Retrospective Studies; D013123:Spinal Fusion / Q000379:methods*
keywords: Atlanto-axial subluxation; Juvenile idiopathic arthritis; Posterior arthrodesis