Spontaneous Axial Subluxation in a Child as the First Sign of Juvenile Rheumatoid Arthritis

Cervical arthritis as presentation of oligoarticular juvenile idiopathic arthritis

“…In the Nathan FF et al case report (Table 1) the neurologic signs were associated with an atlantoaxial subluxation of 9 mm [7]. These findings justified the neurosurgery approach due to the risk of cord injury [1,7].…”

“…In Table 1 we summarize the six cases of oJIA published in the literature (English, French, Spanish and Portuguese) with isolated CS involvement at presentation [6][7][8][9][10], and our cases. After 1974, only two similar cases were reported [9,10].…”

“…Although there are several reports of CSI that occur with longstanding disease, especially in systemic and polyarticular JIA subtypes, to our knowledge there is only 6 cases reported with oJIA with exclusive CSI at presentation [6][7][8][9][10] ( Table 1).…”

“…The most common CS articulations involved in JIA is the atlanto-odontoid, and the most common complication is atlantoaxial suluxation [1,[6][7][8][9][10]14,15] (Table 1). Neurologic manifestation of the compression of medullary spinals are a rare but serious complication, [1,4,7], which justifies a thorough neurologic evaluation whenever CS signs and symptoms are present.…”

“…Neurologic manifestation of the compression of medullary spinals are a rare but serious complication, [1,4,7], which justifies a thorough neurologic evaluation whenever CS signs and symptoms are present. In the Nathan FF et al case report (Table 1) the neurologic signs were associated with an atlantoaxial subluxation of 9 mm [7]. These findings justified the neurosurgery approach due to the risk of cord injury [1,7].…”