J Korean Orthop Assoc.  2024 Apr;59(2):126-131. 10.4055/jkoa.2024.59.2.126.

Cervical Myelopathy with Atlanto-Axial Instability in Sjogren’s Syndrome

• Shin HK
• Im JT
• Lee J
• Park JH

• KMID: 2555523
• DOI: http://doi.org/10.4055/jkoa.2024.59.2.126

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.

Keyword

Sjogren’s syndrome; atlanto-axial instability; spinal cord compression; C1-2 posterior fusion