Turkish Journal of Physical Medicine and Rehabilitation 2007 , Vol 53 , Num 2
Atlantoaxial Subluxation in Three Cases
İbrahim Tekeoğlu 1 ,S. Sevgi Demir 2 ,Selcen Şenol 3
1 Department of Pysical Medicine and Rehabilitation, Division of Rheumatology, Sakarya University Faculty of Medicine, Sakarya, Turkey
2 Yüzüncü Yıl Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Va
3 Fatih Sultan Mehmet ve Araştırma Hastanesi, Fizik Tedavi ve Rehabilitasyon Klinği, İstanbul

Atlantoaxial subluxation is a distinctive finding in rheumatoid arthritis which may also occur in early disease process. With chronic and severe disease, subluxation or dislocation of one or several levels of cervical spine may occur. The most important result of atlantoaxial subluxation in rheumatoid arthritis is spinal cord damage. Atlantoaxial subluxation is seen rarely in ankylosing spondylitis with mild neurological signs. In this report we aimed to present atlantoaxial subluxation in three rheumatic cases, one with ankylosing spondylitis and two having rheumatoid arthritis. One of the patients with rheumatoid arthritis developed neurological signs of medullary cord compression.

Keywords : Rheumatoid arthritis, ankylosing spondylitis, atlantoaxial subluxatio