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Spinal Pseudoarthrosis: A Rare Complication in Psoriatic Arthritis
- Source :
- Journal of the Formosan Medical Association, Vol 105, Iss 8, Pp 685-688 (2006)
- Publication Year :
- 2006
- Publisher :
- Elsevier BV, 2006.
-
Abstract
- Discovertebral erosion with pseudoarthrosis is a well-known complication in ankylosing spondylitis but it is seldom mentioned in psoriatic arthritis. We report a 53-year-old woman with an 8-year history of pso-riatic arthritis who developed severe low back pain followed by sudden onset of numbness in the lower limbs, weakness and dysesthesia. Abnormal contour of L1 and L2 vertebrae and intervertebral disc space was noted during radiologic examination. Pseudoarthrosis was suspected based on extensive osseous re-sorption and reactive sclerosis about the discovertebral junction on magnetic resonance imaging study. She underwent emergency operation due to spinal instability with neurologic deficit. Pseudoarthrosis was confirmed intraoperatively. No evidence of infection or neoplasms was found. This case shows that pseudoarthrosis can be complicated in patients with psoriatic arthritis, and this possibility should be considered in patients with previously quiescent disease.
- Subjects :
- medicine.medical_specialty
Weakness
pseudoarthrosis
Psoriatic arthritis
discovertebral erosion
medicine
Humans
Spondylitis, Ankylosing
Medicine(all)
psoriatic arthritis
lcsh:R5-920
Ankylosing spondylitis
Dysesthesia
medicine.diagnostic_test
business.industry
Arthritis, Psoriatic
Spinal instability
Magnetic resonance imaging
General Medicine
Middle Aged
medicine.disease
Low back pain
Surgery
Pseudarthrosis
Spinal Fractures
Female
medicine.symptom
lcsh:Medicine (General)
Complication
business
Subjects
Details
- ISSN :
- 09296646
- Volume :
- 105
- Database :
- OpenAIRE
- Journal :
- Journal of the Formosan Medical Association
- Accession number :
- edsair.doi.dedup.....a20b01a1ff7ed8d5f7d8c0d58d842c73