Multiple cervical cord compressions in psoriatic arthritis

Spadaro, Antonio; Riccieri, Valeria; Scavalli, A. Sili; Taccari, E

doi:10.1007/bf02207084

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…MRI features of sacroiliitis were found in 38 % of 68 PsA patients and were not associated with HLA-B27 [27]. Furthermore, MRI may be useful for evaluating cervical cord compressions due to atlantoaxial subluxation in PsA [29].…”

Section: Imaging Of Axial Psamentioning

confidence: 91%

Axial psoriatic arthritis: an intriguing clinical entity or a subset of an intriguing disease?

Lubrano

Spadaro

2012

Clin Rheumatol

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This article summarizes the state of the art of axial involvement in psoriatic arthritis (axial PsA). The definition and measurement of axial disease in PsA still remain problematic, and this, in turn, could affect the best approach of recognition and treatment of this intriguing subset of the psoriatic disease. Axial PsA has been studied over the last few years looking at the difference in function and radiological finding compared to ankylosing spondylitis (AS), trying to differentiate it from a coincidental AS with psoriasis. Finally, this review has described the diagnosis and treatment of axial PsA reporting the data obtained from the literature.

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Section: Imaging Of Axial Psamentioning

confidence: 91%

Axial psoriatic arthritis: an intriguing clinical entity or a subset of an intriguing disease?

Lubrano

Spadaro

2012

Clin Rheumatol

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“…4). Furthermore, MRI may be useful for the evaluation of cervical cord compressions due to atlantoaxial subluxation in PsA (50).…”

Section: Axial Involvementmentioning

confidence: 99%

Psoriatic arthritis: imaging techniques

Spadaro¹,

Lubrano²

2012

Reumatismo

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Imaging techniques to assess psoriatic arthritis (PsA) include radiography, ultrasonography (US), magnetic resonance imaging (MRI), computed tomography (CT) and bone scintigraphy. The radiographic hallmark of PsA is the combination of destructive changes (joint erosions, tuft resorption, osteolysis) with bone proliferation (including periarticular and shaft periostitis, ankylosis, spur formation and non-marginal syndesmophytes). US has an increasing important role in the evaluation of PsA. In fact, power Doppler US is useful mainly for its ability to assess musculoskeletal (joints, tendons, entheses) and cutaneous (skin and nails) involvement, to monitor efficacy of therapy and to guide steroid injections at the level of inflamed joints, tendon sheaths and entheses. MRI allows direct visualization of inflammation in peripheral and axial joints, and peripheral and axial entheses, and has dramatically improved the possibilities for early diagnosis and objective monitoring of the disease process in PsA. MRI has allowed explaining the relationships among enthesitis, synovitis and osteitis in PsA, supporting a SpA pattern of inflammation where enthesitis is the primary target of inflammation. CT has little role in assessment of peripheral joints, but it may be useful in assessing elements of spine disease. CT accuracy is similar to MRI in assessment of erosions in sacroiliac joint involvement, but CT is not as effective in detecting synovial inflammation. Bone scintigraphy lacks specificity and is now supplanted with US and MRI techniques.

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“…13 Spadaro et al reported multiple cervical cord compressions in PsA. 12 These cases had no periodontoid synovial pannus. Furthermore the formation of a periodontoid synovial pannus and signs of myelopathy are more scarce associated with PsA.…”

Section: Discussionmentioning

confidence: 98%

“…There are some cases about this subject in the literature. [10][11][12] Atlantoaxial subluxation and spondylitic changes can lead to multiple cervical cord compressions in PsA patients. Lee and Lui reported a high cervical myelopathy with atlantoaxial subluxation in psoriatic spondylitis.…”

Section: Discussionmentioning

confidence: 99%