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Table 2 Imaging studies, interventions and outcomes of enthesitis-related arthritis with C1-C2 subluxation

From: C1-C2 subluxation in enthesitis-related arthritis: two case reports and literature review of ten cases

 

Imaging studies

Interventions

Neurologic signs/symptoms after treatment

Range of movement of cervical spine

Patient / [Reference]

Radiography of ADI

CT of cervical spine

MRI

Medications

C1-C2 posterior fusion

Cervical collar / traction

1 / [12]

 > 10 mm

Yes

No

Aspirin, naproxen, ocular steroids

Yes

Cervical collar and Halter traction

None

Fused cervical spine

2 / [13]

4 – 12 mm

Yes

Yes

Diclofenac

Yes

Cervical traction and collar

None

Fused cervical spine

3 / [14]

5 mm*

No

Yes

Naproxen, prednisone, methotrexate, sulfasalazine, etanercept

Yes

None

None

Fused cervical spine

4 / [13]

3 – 8 mm

No

Yes

Tolmetin sodium, sulfasalazine, prednisone

Yes

None

None

Fused cervical spine

5 / [15]

11 mm

No

Yes

NSAID, dexamethasone, methotrexate, sulfasalazine

None

None

None

Improved

6 / [16]

Not measured

Yes

Yes

Methylprednisolone

Yes

None

None

Fused cervical spine

7 / Present patient

4.4 mm

Yes

Yes

Naproxen, methylprednisolone, prednisolone, methotrexate, sulfasalazine, folic acid

None

Cervical collar and Halter traction

None

Improved

8 / [17]

Not measured

No

No

Naproxen, methotrexate, sulfasalazine, etanercept

None

Cervical collar

None

Ankylosis persisted

9 / [18]

8 mm

No

No

Indomethacin

Yes

Cervical collar

None

Fused cervical spine

10 / [19]

11 mm

No

No

Not reported

None

Cervical collar

None

Fused cervical spine

11 / [20]

7 mm

No

No

Not reported

None

None

None

Not reported

12 / Present patient

Not measured

Yes

Yes

Naproxen, sulfasalazine, acetaminophen

None

Cervical collar

None

Improved

  1. NSAID, non-steroidal anti-inflammatory drugs; CT, computed tomography; MRI, magnetic resonance imaging; ADI, atlantodental interval (also known as predental space); *measured from MRI